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1104656511
AUTHENTIC LOVE ROSE LLC
FAYETTEVILLE, NC
NPI
1104656511
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Entity Type
Organization
Authorized Contact
SHANICHA MCNEILL
Administrator
910-322-4506
Organization Subpart ?
No
Primary Taxonomy
253Z00000X In Home Supportive Care
Enumeration Date
2024-08-02
Last Update Date
2024-08-02
Business Address
AUTHENTIC LOVE ROSE LLC
2007 RAMSEY ST
FAYETTEVILLE, NC 28301-4163
Phone number: 910-322-4506
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Mailing Address
AUTHENTIC LOVE ROSE LLC
505 MANN ST
FAYETTEVILLE, NC 28301-6237
Phone number: 910-322-4506
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