MGA HOME HEALTHCARE FAYETTEVILLE LLC NPI 1518613330

NPI Information

MGA HOME HEALTHCARE FAYETTEVILLE, LLC is a nursing care in Fayetteville, NC. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. MGA HOME HEALTHCARE FAYETTEVILLE, LLC NPI is 1518613330. The provider is registered as an organization entity type.

The provider's business location address is:

3400 WALSH PKWY STE 248
FAYETTEVILLE, NC
ZIP 28311-642
Phone: (910) 839-0239
Fax: (910) 900-0915

The provider's authorized official is Wendy Chavez .
The authorized official title is Vp, Operations and has the following contact phone number (910) 839-0239.

The CLIA number assigned to this NPI record is 34D2254050 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/2/2022 and was last updated on 3/2/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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