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Organization

HOMECARE ADVANTAGE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BEVERLY J PHILSON (PRESIDENT)
(252) 520-9353
Entity
Organization

Contact information

Practice address
103 S MCLEWEAN ST, KINSTON, NC 28501-4921
(252) 520-9353
(252) 526-0131
Mailing address
103 S MCLEWEAN ST, KINSTON, NC 28501-4921
(252) 520-9353
(252) 526-0131

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC1773
NC

Other

Enumeration date
05/12/2010
Last updated
05/12/2010
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