Organization
SUPREME CARE PROFESSIONAL NURSING AGENCY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTIANA O ABISOGUN RN (DIRECTO)
(919) 931-9704
Entity
Organization
Contact information
Practice address
3535 S WILMINGTON ST, SUITE 104, RALEIGH, NC 27603-3562
(919) 931-9704
Mailing address
3535 S WILMINGTON ST, SUITE 104, RALEIGH, NC 27603-3562
(919) 931-9704
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC4335
NC
Other
Enumeration date
03/16/2011
Last updated
03/16/2011
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