Organization
WAKE HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT SULLIVAN (CFO)
(919) 924-9206
Entity
Organization
Contact information
Practice address
4030 WAKE FOREST RD STE 349, RALEIGH, NC 27609-0010
(919) 924-9206
Mailing address
1812 ARMOR CREST LN, WAKE FOREST, NC 27587-1841
(919) 924-9206
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
12/29/2025
Last updated
12/29/2025
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