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1518576289
NEW REVELATION HOME CARE LLC
FAYETTEVILLE, NC
NPI
1518576289
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Entity Type
Organization
Authorized Contact
KELLIE MICHELLE HAWKINS
Administrator
910-500-9043
Organization Subpart ?
No
Primary Taxonomy
253Z00000X In Home Supportive Care
Enumeration Date
2020-07-28
Last Update Date
2020-07-28
Business Address
NEW REVELATION HOME CARE LLC
1500 BRAGG BLVD STE 104
FAYETTEVILLE, NC 28301-4289
Phone number: 910-500-9043
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Mailing Address
NEW REVELATION HOME CARE LLC
4226 RACCOON PATH
FAYETTEVILLE, NC 28312-9369
Phone number: 910-500-9043
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