Organization
RJR KALLI, LLC
Active
Parent organization
RJR KALLI, LLC
Other names
RJR Kallie Healthcare
Organization subpart
Yes
Provider details
NPI number
Legal business name
RJR KALLI, LLC
Authorized official
KEITH PETEN (AGENCY DIRECTOR)
(919) 750-7195
Entity
Organization
Contact information
Practice address
615 SAINT GEORGE SQUARE CT STE 312, WINSTON SALEM, NC 27103-1368
(469) 289-1814
Mailing address
1114 ELIZABETH ST, GOLDSBORO, NC 27530-1940
(919) 750-7195
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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