Organization
INTERCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY J MAKONYONGA (MANAGER)
(919) 724-9141
Entity
Organization
Contact information
Practice address
2880 NORTHCROSS DR, HEBRON, KY 41048-6710
(919) 724-9141
Mailing address
2880 NORTHCROSS DR, HEBRON, KY 41048-6710
(919) 724-9141
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
—
—
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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