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Organization
AMAZING LIGHT HEALTH CARE SERVICES LLC
Active
Organization
AMAZING LIGHT HEALTH CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IJEOMA TINA NWOKORO (CEO)
(919) 949-9777
Entity
Organization
Contact information
Practice address
3515 MAITLAND DR, RALEIGH, NC 27610-1239
(919) 949-9777
Mailing address
105 SWITCHBACK ST, KNIGHTDALE, NC 27545-6004
(919) 949-9777
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
HC4784
NC
Other
Enumeration date
07/14/2015
Last updated
05/10/2023
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