Individual
IKAMIE TAFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3280 CHARLES BLVD STE 306, GREENVILLE, NC 27858-8875
(252) 702-6218
Mailing address
PO BOX 699, WINTERVILLE, NC 28590-0699
(252) 341-9572
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC5500
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HC5500
—
NC
Enumeration date
06/16/2020
Last updated
06/16/2020
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