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Organization

CENTRAL HOME HEALTH INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KANISHA CONRAD DICKENS (OWNER/AGENCY DIRECTOR)
(919) 225-0167
Entity
Organization

Contact information

Practice address
2141 EAST GEER ST, DURHAM, NC 27704
(919) 794-7266
(919) 439-0222
Mailing address
2141 EAST GEER ST, DURHAM, NC 27704
(919) 794-7266
(919) 439-0222

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
HC1172
NC
251E00000X
Home Health Agency
251F00000X
Home Infusion Agency
251J00000X
Nursing Care Agency
253Z00000X
In Home Supportive Care Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3408553
NC
05
6600275
NC
05
6800246
NC
05
7202537
NC
05
7701440
NC
05
87700240
NC
05
944279
NC
Enumeration date
02/05/2007
Last updated
03/13/2024
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