Individual
SHARON WELLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
295 SANDY DOWDY RD, GOLDSTON, NC 27252-9623
(919) 898-4345
Mailing address
295 SANDY DOWDY RD, GOLDSTON, NC 27252-9623
(919) 898-4345
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
408160
NC
251E00000X
Home Health Agency
408160
NC
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
408160
—
NC
Enumeration date
05/19/2016
Last updated
05/19/2016
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