Organization
MYRIAD HOMECARE AGENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MONTY MIDGETTE (OWNER)
(919) 673-6910
Entity
Organization
Contact information
Practice address
262 SOUTHTOWN CIR STE C, ROLESVILLE, NC 27571-9593
(919) 673-6910
Mailing address
PO BOX 363, ROLESVILLE, NC 27571-0363
(919) 673-6910
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
HC4430
NC
Other
Enumeration date
08/25/2011
Last updated
03/17/2022
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