Organization
PROVIDENCE HOME CARE AGENCY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEMARY NNEKA IBEKWE (OWNER)
(919) 986-4279
Entity
Organization
Contact information
Practice address
4724 HARGROVE RD STE 100, RALEIGH, NC 27616-2802
(919) 986-4279
Mailing address
4724 HARGROVE RD STE 100, RALEIGH, NC 27616-2802
(919) 986-4279
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/10/2013
Last updated
07/10/2013
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