Organization
KOODY HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA C OHIAERI (ADMINISTRATOR)
(919) 271-4401
Entity
Organization
Contact information
Practice address
1805 E MULBERRY ST, GOLDSBORO, NC 27530-5322
Mailing address
5420 SEASPRAY LN, RALEIGH, NC 27610-5792
(919) 271-4401
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
01/21/2021
Last updated
01/21/2021
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