Organization
RECONCILIATION & RESTORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMUR KISHON TAYLOR-ALEXANDER RN (CEO)
(252) 402-9375
Entity
Organization
Contact information
Practice address
518 RACHEL LN, GRIMESLAND, NC 27837-9246
(252) 402-9375
Mailing address
518 RACHEL LN, GRIMESLAND, NC 27837-9246
(252) 402-9375
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
01/03/2011
Last updated
01/03/2011
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