Organization · NPI-2

Advance One Home Care Agency

In Home Supportive Care · Rocky Mount, NC

NPI number1457066235
StatusActive
Last updated in NPPESSep 17, 2024

Details

NPI
1457066235
Entity type
Organization (NPI-2)
Legal business name
Advance One Home Care Agency
Organization subpart
No
Enumeration date
Jan 17, 2023
Certification date
Sep 17, 2024
Last updated
Sep 17, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes

Practice location

120 N Franklin St Ste C
Rocky Mount, NC 27804-5448

Phone 252-343-8916

Mailing address

120 N Franklin St Ste C
Rocky Mount, NC 27804-5448

Phone 252-259-3975

Authorized official

Juanita M Crews
Owner
2522593975

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