Organization
NC DEPARTMENT OF HEALTH AND HUMAN SERVICES, DIVISION OF PUBLIC HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALICE LENIHAN MPH,RD (NUTRION SERVICES BRANCH HEAD)
(919) 707-5740
Entity
Organization
Contact information
Practice address
5601 SIX FORKS RD, BUILDING 2, RALEIGH, NC 27609-3811
(919) 707-5800
(919) 870-4818
Mailing address
1914 MAIL SERVICES CENTER, RALEIGH, NC 27699-1914
(919) 707-5800
(919) 870-4818
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
DME PERMIT 01609
NC
Other
Enumeration date
01/15/2010
Last updated
01/15/2010
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