Organization
COUNTRY HOME HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN LEANDRO (PARTNER)
(910) 875-4551
Entity
Organization
Contact information
Practice address
2908 COUNTRY HOME RD, CONCORD, NC 28025-7628
(910) 875-4551
Mailing address
401 N MAIN ST, RAEFORD, NC 28376-2630
(910) 875-4551
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
HAL 013-039
NC
Other
Enumeration date
12/14/2010
Last updated
12/14/2010
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