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Organization

1ST IN PROACTIVE CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CECILY CROFOOT HOOKS CSA (PRESIDENT)
(336) 992-2292
Entity
Organization

Contact information

Practice address
815 OLD WINSTON RD, SUITE E, KERNERSVILLE, NC 27284-7124
(336) 992-2292
(800) 315-1585
Mailing address
815 OLD WINSTON RD, SUITE E, KERNERSVILLE, NC 27284-7124
(336) 992-2292
(800) 315-1585

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC4376
NC

Other

Enumeration date
05/31/2011
Last updated
06/28/2012
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