Organization
RAYNA'S HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATRAIKEYONNIA PRIDGEN EVANS (AGENCY DIRECTOR)
(252) 794-1213
Entity
Organization
Contact information
Practice address
126 E GRANVILLE ST STE 1&2, WINDSOR, NC 27983-6754
(252) 794-1213
Mailing address
PO BOX 1158, WINDSOR, NC 27983-1158
(252) 794-1213
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372600000X
Adult Companion
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
09/06/2020
Last updated
08/22/2022
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