Organization
HOME AWAY FROM HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROBIN PAULETTE SPEIGHT (PRESIDENT)
(919) 539-5714
Entity
Organization
Contact information
Practice address
1723 MEADOWBROOK LANE W., WILSON, NC 27893
(252) 296-9459
Mailing address
1723 MEADOWBROOK LANE W., WILSON, NC 27803
(252) 296-9459
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
10/12/2017
Last updated
10/12/2017
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