MEDICARE: VALCOR VENTURES INC. DBA HALLMARK HOMECARE

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1548039894
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VALCOR VENTURES INC. DBA HALLMARK HOMECARE

Provider Business Mailing Address
First Line	:	1633 NEW GARDEN RD # 1018
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27410-2001
Country	:	US
Telephone Number	:	336-268-8705
Fax Number	:

Provider Business Practice Location Address
First Line	:	5818 GRIFFIN VILLAGE CT
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27455-1289
Country	:	US
Telephone Number	:	336-697-6044
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JEREMY DEAVER
Credential	:
Telephone Number	:	336-697-6044

Provider Enumeration Date	:	12/28/2023
Last Update Date	:	12/28/2023

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