Organization
WAKE HEALTH SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACKIE MORLANDO (CHIEF FINIANCIAL OFFICER)
(919) 250-2939
Entity
Organization
Contact information
Practice address
102 N TARBORO RD, RALEIGH, NC 27610-2352
(919) 743-3315
(919) 743-0580
Mailing address
102 N TARBORO RD, RALEIGH, NC 27610-2352
(919) 743-3315
(919) 743-0580
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
344589A
—
NC
Enumeration date
09/26/2005
Last updated
08/22/2020
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