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Organization
AA MANTEL HEALTHCARE
Active
Organization
AA MANTEL HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TED DAVID OBOMANU (CEO/PRESIDENT)
(919) 401-8381
Entity
Organization
Contact information
Practice address
3600 UNIVERSITY DR, SUITE A, DURHAM, NC 27707-6207
(919) 401-8381
(919) 490-6466
Mailing address
PO BOX 38, DURHAM, NC 27702-0038
(919) 401-8381
(919) 490-6466
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC2309
NC
Other
Enumeration date
07/30/2007
Last updated
07/30/2007
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