Organization
CARDINALE HEALTHCARE HC1 INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE SMYTHE (AGENCY DIRECTOR)
(888) 609-1112
Entity
Organization
Contact information
Practice address
6632 SUGA CIR, FAYETTEVILLE, NC 28314-6455
(888) 609-1112
(910) 920-9074
Mailing address
6632 SUGA CIR, FAYETTEVILLE, NC 28314-6455
(910) 498-2434
(910) 920-9074
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
HC4698
NC
251J00000X
Nursing Care Agency
Primary
HC4698
NC
253Z00000X
In Home Supportive Care Agency
HC4698
NC
385H00000X
Respite Care
HC4698
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NC
—
NC
Enumeration date
11/21/2014
Last updated
06/24/2016
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