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Organization
ROPHE' OUTREACH MINISTRIES
Active
Organization
ROPHE' OUTREACH MINISTRIES
Active
Other names
nuimage home health
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WILHEMINA JUDKINS TALLEY LMBT (OWNER/ DIRECTOR)
(252) 425-8543
Entity
Organization
Contact information
Practice address
201 EAST WAIT ST, WAKE FOREST, NC 27587
(919) 345-2419
Mailing address
501 HAMPTON LN, YOUNGSVILLE, NC 27596-8743
(919) 345-2419
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1171
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6105166
—
NC
Enumeration date
07/01/2011
Last updated
07/01/2011
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