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NPI Code Detail

MEDICARE: AGNA HOME CARE

MEDICARE: AGNA HOME CARE
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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1437658127
Entity Type Code : Organization
Provider Name (Legal Business Name) : AGNA HOME CARE
Provider Business Mailing Address
First Line : 4426 TONRIC DR
Second Line :
City : HOPE MILLS
State : NC
Zip : 28348-9433
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3400 WALSH PKWY
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28311-1642
Country : US
Telephone Number : 910-482-8084
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : ROBERT PRICE
Credential :
Telephone Number : 910-482-8084
Provider Enumeration Date : 02/07/2018
Last Update Date : 06/16/2018

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Directions to “AGNA HOME CARE ” Practice Location

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