Organization
CHRYSALIS HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIA ANTOINETTE JONES MBA/PA (ADMINISTRATOR)
(910) 465-0427
Entity
Organization
Contact information
Practice address
1803 CASTLE ST, WILMINGTON, NC 28403-2103
(910) 465-0427
Mailing address
1811 CAROLINA AVE, WILMINGTON, NC 28403-1003
(910) 465-0427
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
08/06/2012
Last updated
08/06/2012
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