Organization
EAST WAKE HOME CARE
Active
Other names
East Wake Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
KYARRA ROGERS (RN/ AGENCY DIRECTOR)
(757) 759-8891
Entity
Organization
Contact information
Practice address
101 FOREST DR, KNIGHTDALE, NC 27545-9603
(919) 307-9314
Mailing address
101 FOREST DR STE B, KNIGHTDALE, NC 27545-9603
(757) 759-8891
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
11/11/2020
Last updated
12/10/2020
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