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Organization

GRACE OF JORDAN HOME CARE LLC

Active
Other names
Grace of Jordan Home Care
Organization subpart
No

Provider details

NPI number
Authorized official
ASHLEY M HALL (CEO)
(910) 540-4250
Entity
Organization

Contact information

Practice address
321 N FRONT ST STE 210, WILMINGTON, NC 28401-3908
(910) 540-4250
Mailing address
3022 EVENING RD, CASTLE HAYNE, NC 28429-5333
(910) 540-4250

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
385H00000X
Respite Care

Other

Enumeration date
11/19/2021
Last updated
03/17/2022
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