Organization
JADES-NISSI HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AFOLASHADE AGNES OLAOYE RN (AGENCY DIRECTOR)
(919) 520-3818
Entity
Organization
Contact information
Practice address
5710 SIX FORKS RD STE 15, RALEIGH, NC 27609-0041
(919) 520-3818
Mailing address
5710 SIX FORKS RD STE 15, RALEIGH, NC 27609-0041
(919) 520-3818
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/04/2020
Last updated
01/04/2020
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