Individual
LILIYA SHMULEVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MANAGER
Contact information
Practice address
1410 KILDAIRE FARM RD, CARY, NC 27511-5528
(919) 348-5880
(919) 377-2054
Mailing address
1410 KILDAIRE FARM RD, CARY, NC 27511-5528
(919) 348-5880
(919) 377-2054
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
FCL-092-252
NC
253Z00000X
In Home Supportive Care Agency
Primary
—
—
311ZA0620X
Adult Care Home Facility
FCL-092-252
NC
3747P1801X
Personal Care Attendant
FCL-092-252
NC
Other
Enumeration date
09/02/2021
Last updated
09/30/2021
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