Organization
SUPPORT STAFF INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLEY Y JEGBADAI (ADMINISTRATOR)
(919) 395-6191
Entity
Organization
Contact information
Practice address
100 COASTLINE ST, ROCKY MOUNT, NC 27804-5879
(252) 985-3122
(252) 985-3522
Mailing address
100 COASTLINE ST, ROCKY MOUNT, NC 27804-5879
(252) 985-3122
(252) 985-3522
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC3120
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408078
—
NC
Enumeration date
06/11/2008
Last updated
06/11/2008
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