Organization
A WILL TO LIVE HOME HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALBERT WILMER JR. LPN (OWNER)
(919) 436-0834
Entity
Organization
Contact information
Practice address
109 SOUTH ELM STREET UNIT C, CREEDMOOR, NC 27522
(919) 436-0834
Mailing address
PO BOX 52131, DURHAM, NC 27717-2131
(919) 436-0834
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
07/12/2020
Last updated
07/12/2020
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