| North Carolina Outreach Home Care, Llc | |
|
24 N Main St Burnsville NC 28714-2925 | |
| (828) 682-2220 | |
| Not Available |
| Full Name | North Carolina Outreach Home Care, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 24 N Main St, Burnsville, North Carolina |
| Authorized Official Name and Position | Shannon Durbin (CHIEF QUALITY OFFICER) |
| Authorized Official Contact | 9014109058 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Carolina Outreach Home Care, Llc 24 N Main St Burnsville NC 28714-2925 Ph: (828) 682-2220 | North Carolina Outreach Home Care, Llc 24 N Main St Burnsville NC 28714-2925 Ph: (828) 682-2220 |
| NPI Number | 1528447000 |
|---|---|
| Provider Enumeration Date | 05/29/2015 |
| Last Update Date | 05/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528447000 | NPI | - | NPPES |
| 3409530 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL-100-017 (North Carolina) | Primary |
| 253Z00000X | In Home Supportive Care | MHL-100-017 (North Carolina) | Secondary |
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