Organization
COMMUNITY SUPPORT HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA WALLACE (MEMBER)
(984) 480-4663
Entity
Organization
Contact information
Practice address
555 S MANGUM ST STE 100, DURHAM, NC 27701-4689
(984) 480-4663
Mailing address
555 S MANGUM ST STE 100, DURHAM, NC 27701-4689
(984) 480-4663
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/17/2025
Last updated
02/26/2026
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