Individual
NICKY NICOLE CALLANDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
121 S ELM ST, GREENSBORO, NC 27401-2601
(336) 268-7296
Mailing address
121 S ELM ST, GREENSBORO, NC 27401-2601
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC5859
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
853322619
—
NC
Enumeration date
03/08/2021
Last updated
03/08/2021
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