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Organization

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Active
Organization subpart
No

Provider details

NPI number
Authorized official
LUCIANE DENISE BARKSDALE (DIRECTOR)
(910) 533-2323
Entity
Organization

Contact information

Practice address
945 CURTIS IVEY RD, TURKEY, NC 28393-9061
(910) 533-2323
(910) 533-2325
Mailing address
945 CURTIS IVEY RD, TURKEY, NC 28393-9061
(910) 533-2323
(910) 533-2325

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC2865
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6601195
NC
Enumeration date
07/05/2007
Last updated
12/28/2007
About Stedi
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  • EDI platform