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NPI Code Detail

MEDICARE: HOMECHOICE NETWORK, INC.

MEDICARE: HOMECHOICE NETWORK, INC.
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 AgencyHC4040NC

General Provider Information

NPI Number : 1487959821
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOMECHOICE NETWORK, INC.
Provider Business Mailing Address
First Line : 260 MAGNOLIA SQUARE CT
Second Line :
City : ABERDEEN
State : NC
Zip : 28315-2226
Country : US
Telephone Number : 910-944-1116
Fax Number : 910-944-1118
Provider Business Practice Location Address
First Line : 260 MAGNOLIA SQUARE CT
Second Line :
City : ABERDEEN
State : NC
Zip : 28315-2226
Country : US
Telephone Number : 910-944-1116
Fax Number : 910-944-1118
Authorized Official
Title or Position : PRESIDENT
Name : MR. MICHAEL ALLEN IANUCILLI
Credential :
Telephone Number : 910-944-1116
Provider Enumeration Date : 01/16/2011
Last Update Date : 01/16/2011

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Directions to “HOMECHOICE NETWORK, INC. ” Practice Location

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