Organization
COMPLETE CARE CONNECTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOLEEN ANTONIA ANDREWS OT/L (CEO)
(336) 624-2937
Entity
Organization
Contact information
Practice address
3504 DIAMOND SPRINGS DR, RALEIGH, NC 27610-2481
(336) 624-2937
Mailing address
3504 DIAMOND SPRINGS DR, RALEIGH, NC 27610-2481
(336) 624-2937
Taxonomy
Speciality
Code
Description
License number
State
224ZE0001X
Environmental Modification Occupational Therapy Assistant
—
—
225X00000X
Occupational Therapist
Primary
—
—
225XE0001X
Environmental Modification Occupational Therapist
—
—
225XG0600X
Gerontology Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508102161
—
NC
Enumeration date
08/23/2021
Last updated
04/06/2022
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