Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Home Health |
163WH0200X |
| NPI # | 1417462391 |
| LBN Legal business name | COMMUNITY CARE |
| Authorized official | NICOLE HARVEY - (EXECUTIVE DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/13/2017 |
| Last updated | 12/13/2017 - About 8 years ago |
| Identifiers | n/a |
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COMMUNITY CARE
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