Organization
QUALICARE OF GRAHAM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. POLLY ANN BUCHANAN (OWNEROPERATOR)
(828) 479-4790
Entity
Organization
Contact information
Practice address
750 TALLULAH ROAD, ROBBINSVILLE, NC 28771-9701
(828) 479-4790
(828) 479-3203
Mailing address
750 TALLULAH ROAD, ROBBINSVILLE, NC 28771-9701
(828) 479-4790
(828) 479-3203
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC2553
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3408038
MEDICAID PROVIDER NUMBER
NC
01
—
6601093
MEDICAID PROVIDER NUMBER
NC
Enumeration date
03/14/2007
Last updated
08/22/2020
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