Organization
UPPER LEVEL HOMECARE & PERSONAL CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE KELLY-HOLMES RN,FNP (DIRECTOR)
(336) 659-1901
Entity
Organization
Contact information
Practice address
3455 POLO RD, SUITE 108, WINSTON SALEM, NC 27106-4828
(336) 659-1901
(336) 768-1860
Mailing address
3456 POLO ROAD, SUITE 108, WINSTON-SALEM, NC 27106-4828
(336) 659-1901
(336) 768-1860
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC3179
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418031
—
NC
Enumeration date
04/12/2007
Last updated
08/22/2020
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