Organization
CLASSIC CARE CAP SERVICES
Active
Parent organization
CLASSIC CARE HOME CARE AGENCY, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLASSIC CARE HOME CARE AGENCY, LLC
Authorized official
MRS. MERVA A MCKINNEY RN (OWNER)
(910) 692-1006
Entity
Organization
Contact information
Practice address
780 NW BROAD ST, SUITE 300, SOUTHERN PINES, NC 28387-4102
(910) 692-1006
(910) 692-1007
Mailing address
PO BOX 651, 108 ARROWLEAF LANE, WEST END, NC 27376-0651
(910) 235-9009
(910) 235-9008
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC3217
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418105
—
NC
Enumeration date
05/11/2009
Last updated
08/09/2011
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