Organization
ESSENTIAL LIVING HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PARRIS RASCOE SOLOMON (AGENCY DIRECTOR)
(919) 454-1764
Entity
Organization
Contact information
Practice address
7633 KNIGHTDALE BLVD STE 102, KNIGHTDALE, NC 27545-9015
(919) 454-1764
Mailing address
1236 ALEMANY ST, MORRISVILLE, NC 27560-7385
(919) 454-1764
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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