Organization
AMAZING CARE SUPPORT SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AUGUSTINE IMOH (PRESIDENT)
(919) 609-0662
Entity
Organization
Contact information
Practice address
8601 SIX FORKS RD STE 400, RALEIGH, NC 27615-2965
(919) 609-0662
(919) 855-9477
Mailing address
6924 FOX HAVEN PL, RALEIGH, NC 27616-6384
(919) 609-0662
(919) 855-9477
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/07/2020
Last updated
03/07/2020
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