Organization
A NEW JOURNEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBONY NICHOLE SANDERS (CEO)
(919) 809-0852
Entity
Organization
Contact information
Practice address
312 KILGO ST, CLAYTON, NC 27520-1651
(919) 809-0852
(844) 246-5039
Mailing address
PO BOX 94, CLAYTON, NC 27528-0094
(919) 809-0852
(844) 246-5039
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251B00000X
Case Management Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
332U00000X
Home Delivered Meals
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
08/13/2022
Last updated
08/13/2022
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