Organization
OMEGA INDEPENDENT LIVING SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD K GRANTHAM (DIRECTOR OF OPERATIONS)
(919) 255-3268
Entity
Organization
Contact information
Practice address
2410 PINEY PLAINS RD, CARY, NC 27518-6868
(919) 255-3268
Mailing address
3029 STONY BROOK DR STE 105, RALEIGH, NC 27604-3790
(919) 255-3268
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL-092-702
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6604281
—
NC
Enumeration date
04/06/2009
Last updated
04/06/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us