Organization
BLUE HOMECARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES NNAMDI IBEZIAKO (DIRECTOR)
(919) 426-0280
Entity
Organization
Contact information
Practice address
1900 E MAIN STREET, SUITE 112, WAKE FOREST, NC 27587
(919) 426-0280
Mailing address
1900 E MAIN STREET, SUITE 112, WAKE FOREST, NC 27587
(919) 426-0280
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/02/2022
Last updated
06/07/2022
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