# SUPPORT STAFF INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538329834
- **Authorized official:** CARLEY Y JEGBADAI (ADMINISTRATOR)
- **Authorized official phone:** (919) 395-6191

## Contact information

- **Practice address:** 100 COASTLINE ST, ROCKY MOUNT, NC 27804-5879
- **Practice address phone:** (252) 985-3122
- **Practice address fax:** (252) 985-3522
- **Mailing address:** 100 COASTLINE ST, ROCKY MOUNT, NC 27804-5879
- **Mailing address phone:** (252) 985-3122
- **Mailing address fax:** (252) 985-3522

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HC3120 | NC | Yes |

## Other

- **Enumeration date:** 06/11/2008
- **Last updated:** 06/11/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3408078 | — | NC |