Organization
MINNIE INC
Active
Other names
ComForCare Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN D LAKE (OWNER)
(919) 542-2520
Entity
Organization
Contact information
Practice address
3761 JUNCTION BLVD, RALEIGH, NC 27603-5263
(919) 542-2520
(919) 545-5540
Mailing address
3761 JUNCTION BLVD, RALEIGH, NC 27603-5263
(919) 542-2520
(919) 545-5540
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC3443
NC
Other
Enumeration date
05/31/2016
Last updated
05/31/2016
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