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1194570044
PHENOMENAL HOME CARE LLC
KNIGHTDALE, NC
NPI
1194570044
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Entity Type
Organization
Authorized Contact
ALICIA CARTER LYONS
Director
252-955-7893
Organization Subpart ?
No
Primary Taxonomy
253Z00000X In Home Supportive Care
Enumeration Date
2024-04-23
Last Update Date
2024-04-23
Business Address
PHENOMENAL HOME CARE LLC
105 ONYX LN
KNIGHTDALE, NC 27545-7873
Phone number: 252-955-7893
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Mailing Address
PHENOMENAL HOME CARE LLC
105 ONYX LN
KNIGHTDALE, NC 27545-7873
Phone number: 252-955-7893
Copy
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