Organization
VAGAP HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OBI ACHUMBA PHARMD, RPH, QP (MANAGER)
(919) 779-7779
Entity
Organization
Contact information
Practice address
6004 RICKER RD, RALEIGH, NC 27610-4281
(919) 779-7779
(919) 424-7185
Mailing address
PO BOX 41505, RALEIGH, NC 27629-1505
(919) 779-7779
(919) 424-7185
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
MHL-092-753
NC
Other
Enumeration date
12/14/2009
Last updated
12/14/2009
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