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Individual

KELECHI BASSEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
211 S JARVIS ST STE 104, GREENVILLE, NC 27858-2052
(919) 349-2718
Mailing address
8386 SIX FORKS RD STE 101, RALEIGH, NC 27615-5088
(872) 235-7194

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC7905
NC

Other

Enumeration date
06/13/2025
Last updated
06/13/2025
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