Organization
THRIVE MAMA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN HARRELL RN (FOUNDER, CEO)
(336) 209-0673
Entity
Organization
Contact information
Practice address
409 CHESHAM DR, KERNERSVILLE, NC 27284-7018
(336) 209-0673
Mailing address
409 CHESHAM DR, KERNERSVILLE, NC 27284-7018
(336) 209-0673
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
251K00000X
Public Health or Welfare Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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