Organization
FIRST-WATCH HOMECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GEANDA L TILLEY (DIRECTOR)
(919) 425-9513
Entity
Organization
Contact information
Practice address
4801 DANUBE LN APT 1106, DURHAM, NC 27704-1858
(919) 425-9513
Mailing address
4801 DANUBE LN APT 1106, DURHAM, NC 27704-1858
(919) 425-9513
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251J00000X
Nursing Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4523704
NORTH CAROLINA
NC
Enumeration date
08/31/2021
Last updated
08/31/2021
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