Organization
KANTRA HOME HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNEDY E GRAY (OWNER)
(252) 265-9138
Entity
Organization
Contact information
Practice address
4450 RIVERBIRCH RD N, WILSON, NC 27896-8409
(252) 265-9138
Mailing address
4450 RIVERBIRCH RD N, WILSON, NC 27896-8409
(252) 265-9138
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC3898
NC
Other
Enumeration date
09/16/2009
Last updated
09/16/2009
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