Individual
RICKY A STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2511 NEUDORF RD STE J, CLEMMONS, NC 27012-8922
(336) 934-4133
(336) 955-2124
Mailing address
2511 NEUDORF RD STE J, CLEMMONS, NC 27012-8922
(336) 934-4133
(336) 955-2124
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC5005
NC
253Z00000X
In Home Supportive Care Agency
HC5005
—
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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