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Organization
SELFLESS FOUNDATION, INC.
Active
Organization
SELFLESS FOUNDATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOHMINA KALEI KASEY LICENSED CLINIAL SOC (EXECUTIVE DIRECTOR)
(336) 254-0141
Entity
Organization
Contact information
Practice address
503 W MCGEE ST, GREENSBORO, NC 27401-2702
(336) 285-7616
Mailing address
503 W MCGEE ST, GREENSBORO, NC 27401-2702
(336) 285-7616
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
—
—
104100000X
Social Worker
—
—
163WC0400X
Case Management Registered Nurse
—
—
163WH0200X
Home Health Registered Nurse
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0805X
Geriatric Psychiatry Physician
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
364SH0200X
Home Health Clinical Nurse Specialist
—
—
364SP0813X
Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
—
—
374U00000X
Home Health Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1479673
NC SECRETARY OF STATE
NC
Enumeration date
09/12/2019
Last updated
09/12/2019
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