Organization
MANAGEMENT CONSULTANTS PRO LLC
Active
Other names
Management Care Service Staff
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN DOREKO PAUL SMITH (AGENCY DIRECTOR)
(252) 548-9303
Entity
Organization
Contact information
Practice address
4219 PROFESSIONAL COURT STE 201, RALEIGH, NC 27619-2761
(984) 202-5645
Mailing address
2924 TRASSACKS DR, RALEIGH, NC 27610-5497
(252) 548-9303
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
07/02/2021
Last updated
07/02/2021
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