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Organization
INVICTUS HEALTHCARE PLUS LLC
Active
Organization
INVICTUS HEALTHCARE PLUS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUNITA OCTAVIA HASKINS (CEO)
(919) 455-6406
Entity
Organization
Contact information
Practice address
5024 MANOR VALLEY CT, APT.002, RALEIGH, NC 27613-7071
(919) 455-6406
Mailing address
5024 MANOR VALLEY CT APT 2, RALEIGH, NC 27613-7330
(919) 455-6406
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
305R00000X
Preferred Provider Organization
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
08/14/2017
Last updated
07/21/2022
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