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Organization
BOUNTIFUL LIFE
Active
Organization
BOUNTIFUL LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE JONES (PROGRAM DIRECTOR)
(919) 279-8551
Entity
Organization
Contact information
Practice address
1631 MIDTOWN PL STE 104-112, RALEIGH, NC 27609-1300
(919) 279-8551
Mailing address
1631 MIDTOWN PL STE 104-112, RALEIGH, NC 27609-1300
(919) 279-8551
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/05/2021
Last updated
01/17/2024
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