Organization
OPEN MINDED DEVELOPMENTAL HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA RANA BRYANT-RICHARDSON (DIRECTOR)
(252) 446-1411
Entity
Organization
Contact information
Practice address
2803 SUNSET AVE, ROCKY MOUNT, NC 27804-3644
(252) 446-1411
(252) 446-3351
Mailing address
PO BOX 4427, ROCKY MOUNT, NC 27803-0427
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
HC1999
NC
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409286
—
NC
Enumeration date
03/03/2008
Last updated
12/19/2023
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