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General NPI Number Information
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NPI Number | 1770448250
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Entity Type | Organization
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Legal Business Name | NOWELL CARE AT HOME, LLC AGENCY
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Dates
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Enumeration Date | 12/17/2025
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 125 E PLAZA DR STE 118
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City | MOORESVILLE
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State | NC
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Zip | 28115-8087
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Country | US
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Telephone | 980-276-3544
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Fax |
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Provider Business Mailing Address
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Address Line | 125 E PLAZA DR STE 118
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City | MOORESVILLE
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State | NC
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Zip | 28115-8087
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Country | US
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Telephone | 980-276-3544
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR / OWNER
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Name | OVELLA HOUSE NOWELL
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Credential |
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Telephone | 980-276-3544
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WA2000X
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Taxonomy Name | Administrator Registered Nurse
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License Number |
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License Number State |
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