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NPI Code Detail

MEDICARE: TRUE GROUP HOME LLC

MEDICARE: TRUE GROUP HOME LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1053163568
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRUE GROUP HOME LLC
Provider Business Mailing Address
First Line : 2504 TAMPA ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27406-4036
Country : US
Telephone Number : 807-857-8039
Fax Number : 336-907-3044
Provider Business Practice Location Address
First Line : 2504 TAMPA ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27406-4036
Country : US
Telephone Number : 980-785-7803
Fax Number : 336-907-3044
Authorized Official
Title or Position : OWNER
Name : FREEDOM ANN SUMNER
Credential : MASTERS
Telephone Number : 980-785-7803
Provider Enumeration Date : 04/05/2024
Last Update Date : 04/05/2024

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Directions to “TRUE GROUP HOME LLC ” Practice Location

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