Individual
BERNADETTE GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
125 SHORE LAKE DR APT C, GREENSBORO, NC 27455-1473
(757) 287-4185
Mailing address
125 SHORE LAKE DR APT C, GREENSBORO, NC 27455-1473
(757) 287-4185
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
480257
NC
376K00000X
Nurse's Aide
480257
NC
Other
Enumeration date
08/25/2025
Last updated
08/27/2025
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