Organization
PHIBAM DEVOTED HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATE LYONS (AGENCY DIRECTOR)
(919) 786-7438
Entity
Organization
Contact information
Practice address
5312 SIX FORKS RD STE 108, SAME AS ABOVE, RALEIGH, NC 27609-4458
(919) 786-7438
Mailing address
5312 SIX FORKS RD STE 108, SAME AS ABOVE, RALEIGH, NC 27609-4458
(919) 786-7438
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
130160
NC
385H00000X
Respite Care
130160
NC
Other
Enumeration date
03/21/2014
Last updated
03/21/2014
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