Organization
ICONIC HOMECARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAURICE ROBERTS (OWNER)
(919) 514-8456
Entity
Organization
Contact information
Practice address
2554 LITTLE MOUNTAIN CREEK RD, OXFORD, NC 27565-7742
(919) 514-8456
Mailing address
2554 LITTLE MOUNTAIN CREEK RD, OXFORD, NC 27565-7742
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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