Organization
CARE INNOVATIONS OF NORTH CAROLINA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAWAKALIT OLUSESI (DIRECTOR)
(919) 749-7677
Entity
Organization
Contact information
Practice address
2409 HORTON RD, KNIGHTDALE, NC 27545-8594
(919) 373-0353
(919) 373-0353
Mailing address
2409 HORTON RD, KNIGHTDALE, NC 27545-8594
(919) 373-0353
(919) 373-0353
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL-092-236
NC
Other
Enumeration date
12/29/2017
Last updated
12/29/2017
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