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Organization

ANIYA'S HEART HOME CARE AGENCY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VERONICA LUCRETIA BUTLER BSN, RN (PRESIDENT/CEO)
(910) 840-1453
Entity
Organization

Contact information

Practice address
24464 PEACOCK RD, TABOR CITY, NC 28463-7086
(910) 840-1453
Mailing address
24464 PEACOCK RD, TABOR CITY, NC 28463-7086
(910) 840-1453

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC4555
NC

Other

Enumeration date
07/18/2012
Last updated
07/18/2012
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