Organization
SUPPLEMENTAL HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY DNISTRAN (SENIOR STAFFING MANAGER)
(919) 781-9565
Entity
Organization
Contact information
Practice address
2626 GLENWOOD AVE STE 160, RALEIGH, NC 27608-1367
(191) 978-1956
Mailing address
2626 GLENWOOD AVE STE 160, RALEIGH, NC 27608-1367
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/01/2012
Last updated
05/01/2012
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