Organization
DYMOND LIFE HEALTHCARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEMEKA LOUISE KELLY RN (OWNER)
(980) 234-2314
Entity
Organization
Contact information
Practice address
625 W INNES ST STE 205, SALISBURY, NC 28144-4166
(704) 216-1923
Mailing address
715 HEATHERWOOD LN, SALISBURY, NC 28144-8874
(980) 234-2314
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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