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Organization
WELL CARE HOME HEALTH OF THE TRIANGLE, INC
Active
Organization
WELL CARE HOME HEALTH OF THE TRIANGLE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MOORE (DIRECTOR OF REVENUE CYCLE)
(910) 362-9405
Entity
Organization
Contact information
Practice address
5400 GLENWOOD AVE STE 310, RALEIGH, NC 27612-3148
(919) 846-1018
(919) 846-5954
Mailing address
131 RACINE DR STE 201, WILMINGTON, NC 28403-8752
(910) 362-9405
(910) 202-1376
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC0074
NC
251J00000X
Nursing Care Agency
HC0074
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009E1
PRIVATE DUTY NURSING-BCBS
NC
05
—
3417192
—
NC
01
—
7100623
PRIVATE DUTY - MEDICAID
NC
Enumeration date
02/01/2011
Last updated
06/28/2024
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