Organization
SENIOR LIFE HOME CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY REEVES (AGENCY DIRECTOR)
(919) 462-7003
Entity
Organization
Contact information
Practice address
4030 WAKE FOREST RD STE 300, RALEIGH, NC 27609-6800
(919) 462-7003
(919) 655-1592
Mailing address
PO BOX 508, ROLESVILLE, NC 27571-0508
(919) 462-7003
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC3612
NC
Other
Enumeration date
03/22/2017
Last updated
02/17/2021
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