Provider Demographics
NPI:1366087900
Name:CIRCLE OF LIFE HOME CARE INC.
Entity type:Organization
Organization Name:CIRCLE OF LIFE HOME CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:W
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-281-8793
Mailing Address - Street 1:PO BOX 8322
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-1322
Mailing Address - Country:US
Mailing Address - Phone:252-281-8793
Mailing Address - Fax:252-316-8145
Practice Address - Street 1:1912 SUNSET AVE STE B
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-2520
Practice Address - Country:US
Practice Address - Phone:252-281-8793
Practice Address - Fax:252-316-8149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-07
Last Update Date:2019-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care