Organization
DESTINYTOC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. UZOMA IWUALA (MANAGER)
(856) 625-4885
Entity
Organization
Contact information
Practice address
406 MAGNOLIA VIEW LN, ROLESVILLE, NC 27571-9324
(347) 726-0366
Mailing address
406 MAGNOLIA VIEW LN, ROLESVILLE, NC 27571-9324
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
06/03/2022
Last updated
06/03/2022
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