Organization
AMANI HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY WAYNE GUPTON JR. (OWNER)
(336) 293-6666
Entity
Organization
Contact information
Practice address
8025 N POINT BLVD, SUITE 230, WINSTON SALEM, NC 27106-3262
(336) 293-6666
Mailing address
8025 N POINT BLVD, SUITE 230, WINSTON SALEM, NC 27106-3262
(336) 293-6666
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NC
Other
Enumeration date
04/25/2012
Last updated
04/25/2012
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