MEDICARE: CURRYS HAVEN

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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1093977498
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CURRYS HAVEN

Provider Business Mailing Address
First Line	:	2482 ADAMS FARM CT
Second Line	:
City	:	SNOW CAMP
State	:	NC
Zip	:	27349-9236
Country	:	US
Telephone Number	:	336-565-9090
Fax Number	:	336-565-9838

Provider Business Practice Location Address
First Line	:	2482 ADAMS FARM CT
Second Line	:
City	:	SNOW CAMP
State	:	NC
Zip	:	27349-9236
Country	:	US
Telephone Number	:	336-565-9090
Fax Number	:	336-565-9838

Authorized Official
Title or Position	:	OWNER
Name	:	TODD CURRY
Credential	:
Telephone Number	:	336-565-9090

Provider Enumeration Date	:	06/26/2008
Last Update Date	:	06/26/2008

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