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Organization
WISEMINDS PERSONAL SERVICE AGENCY
Active
Organization
WISEMINDS PERSONAL SERVICE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIANNA L FOSTER (OWNER)
(317) 397-4867
Entity
Organization
Contact information
Practice address
7200 SHELLBURNE DR, RALEIGH, NC 27612-2480
(317) 397-4867
Mailing address
7200 SHELLBURNE DR, RALEIGH, NC 27612-2480
(317) 397-4867
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/01/2013
Last updated
09/01/2013
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