Organization Name: | AMAZING HOME CARE AGENCY LLC |
NPI Number: | 1093105058 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUNIE DEAN (MANAGING EMPLOYEE) |
Mailing Address: | 1909 Bragg Blvd Ste 102 B Fayetteville |
State: | NC US |
Postal Code: | 283034387 |
Phone Number: | 9108843080 |
Fax Number: | 9108840193 |
NPI Enumeration Date: | 01/29/2015 |
NPI Last Update Date: | 01/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |