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Organization
OMEGA INDEPENDENT LIVING SERVICES, INC.
Active
Organization
OMEGA INDEPENDENT LIVING SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD K GRANTHAM (DIRECTOR OF OPERATIONS)
(919) 255-3268
Entity
Organization
Contact information
Practice address
3029 STONY BROOK DR STE 105, RALEIGH, NC 27604-3790
(919) 255-3268
(919) 250-2004
Mailing address
3029 STONY BROOK DR STE 105, RALEIGH, NC 27604-3790
(919) 255-3268
(919) 250-2004
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/05/2011
Last updated
04/05/2011
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