Organization
ASECONDHOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LATINA MARIE COSTON (OWNER)
(919) 758-4078
Entity
Organization
Contact information
Practice address
845 SKINNER DR, RALEIGH, NC 27610-8011
(919) 758-4078
Mailing address
311 NEW BERN AVE UNIT 24963, RALEIGH, NC 27611-0120
(919) 758-4078
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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