Provider Demographics
NPI:1932712676
Name:NU BREEZE HOME CARE AGENCY, LLC
Entity Type:Organization
Organization Name:NU BREEZE HOME CARE AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CLARICE
Authorized Official - Middle Name:
Authorized Official - Last Name:GILCHRIST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-890-8281
Mailing Address - Street 1:600 S MAGNOLIA AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:DUNN
Mailing Address - State:NC
Mailing Address - Zip Code:28334-5825
Mailing Address - Country:US
Mailing Address - Phone:910-292-2386
Mailing Address - Fax:
Practice Address - Street 1:600 S MAGNOLIA AVE STE 103
Practice Address - Street 2:
Practice Address - City:DUNN
Practice Address - State:NC
Practice Address - Zip Code:28334-5825
Practice Address - Country:US
Practice Address - Phone:910-292-2386
Practice Address - Fax:910-292-2387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-24
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care