A Clear Look Coaching Agency, LLC
In Home Supportive Care in Fayetteville, NC. Organization (NPI-2).
NPI number1679198899
StatusActive
Last updated in NPPESJun 12, 2020
Details
- NPI
- 1679198899
- Entity type
- Organization (NPI-2)
- Legal business name
- A Clear Look Coaching Agency, LLC
- Organization subpart
- No
- Enumeration date
- Jun 12, 2020
- Certification date
- Jun 12, 2020
- Last updated
- Jun 12, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Practice location
910 Hay StFayetteville, NC 28305-5314
Phone 910-747-6543
Mailing address
Po Box 3163Fayetteville, NC 28302-3163
Authorized official
Teresa Wilson
Director
9107476543
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