Individual
STEPHEN EZEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16508 NORTHCROSS DR, HUNTERSVILLE, NC 28078-5081
(704) 953-5002
Mailing address
16508 NORTHCROSS DR, HUNTERSVILLE, NC 28078-5081
(704) 953-5002
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190683
HOME CARE SERVICES
NC
Enumeration date
12/12/2019
Last updated
01/27/2022
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