Organization
PROVISION SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARGARET B MOSS (CHIEF EXECUTIVE OFFICER)
(919) 623-5903
Entity
Organization
Contact information
Practice address
5320 TOMAHAWK TRL, RALEIGH, NC 27610-6017
(919) 623-5903
Mailing address
5320 TOMAHAWK TRL, RALEIGH, NC 27610-6017
(919) 623-5903
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
02/16/2009
Last updated
02/16/2009
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