Organization
FAMILY FIRST PERSONAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANICE RENEE BUSH (CEO)
(301) 395-1759
Entity
Organization
Contact information
Practice address
4501 NEW BERN AVE, STE 130-212, RALEIGH, NC 27610-1550
(301) 395-1759
Mailing address
4501 NEW BERN AVE, STE 130-212, RALEIGH, NC 27610-1550
(301) 395-1759
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC4469
NC
Other
Enumeration date
05/02/2016
Last updated
05/02/2016
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