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General NPI Number Information
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NPI Number | 1124184882
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Entity Type | Organization
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Legal Business Name | SURE CARE HEALTH SERVICES INC.
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3804 GOVERNORS RD
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City | KELFORD
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State | NC
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Zip | 27847-9401
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Country | US
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Telephone | 252-344-9381
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Fax | 252-344-9411
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Provider Business Mailing Address
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Address Line | 3804 GOVERNORS RD
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City | KELFORD
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State | NC
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Zip | 27847-9401
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Country | US
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Telephone | 252-344-9381
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Fax | 252-344-9411
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Authorized Official
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Title or Position | PRESITENT
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Name | MRS. BARBARA MOORE
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Credential |
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Telephone | 252-344-9381
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | HC1743
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License Number State | NC
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