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Organization

FAMILY ORIENTED LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MONESHA HOLLIDAY BA (CEO/MANAGER)
(919) 264-1368
Entity
Organization

Contact information

Practice address
1812 HILLOCK DR UNIT E, RALEIGH, NC 27612-4037
(919) 264-1368
Mailing address
5540 CENTERVIEW DR STE 204, RALEIGH, NC 27606-8012

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
251E00000X
Home Health Agency
251J00000X
Nursing Care Agency
253Z00000X
In Home Supportive Care Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MEDICAID
NC
Enumeration date
01/18/2023
Last updated
01/18/2023
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