Organization
HYVIVHOMEHEALTHAGENCY,INC
Active
Other names
hyvivmedicalgroup
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HYACIENTH ONYEBUCHI II (AGENCY DIRECTOR)
(919) 539-8604
Entity
Organization
Contact information
Practice address
2421 DALITY DR, RALEIGH, NC 27604-1291
(919) 539-8604
(919) 255-6312
Mailing address
2421 DALITY DR, RALEIGH, NC 27604-1291
(919) 539-8604
(919) 255-6312
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC3268
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418058
—
NC
05
—
6601434
—
NC
Enumeration date
10/24/2006
Last updated
08/22/2020
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