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Organization
OLE CREEK HEALTH AND WELLNESS INC
Active
Organization
OLE CREEK HEALTH AND WELLNESS INC
Active
Other names
Ole Creek Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ANTHONY MOORE (EXECUTIVE MANAGEMENT)
(984) 358-8100
Entity
Organization
Contact information
Practice address
555 S MANGUM ST STE 100, DURHAM, NC 27701-4689
(984) 358-8100
Mailing address
555 S MANGUM ST STE 100, DURHAM, NC 27701-4689
(984) 358-8100
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
310400000X
Assisted Living Facility
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HC6737
PRIVATE
NC
Enumeration date
12/12/2022
Last updated
03/24/2023
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