Provider Demographics
NPI:1316492192
Name:ARDOR HOME CARE
Entity type:Organization
Organization Name:ARDOR HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:D
Authorized Official - Last Name:SWINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-273-5309
Mailing Address - Street 1:5728 PEPPERBUSH DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28304-4827
Mailing Address - Country:US
Mailing Address - Phone:910-423-8973
Mailing Address - Fax:
Practice Address - Street 1:5728 PEPPERBUSH DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-4827
Practice Address - Country:US
Practice Address - Phone:910-423-8973
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-22
Last Update Date:2016-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care