Organization
MAURICE ROBERTS, JR.
Active
Other names
Innovative Healthcare Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MONICA GREEN (AGENCY DIRECTOR)
(919) 321-1052
Entity
Organization
Contact information
Practice address
3622 LYCKAN PKWY, SUITE 6005, DURHAM, NC 27707-2564
(919) 321-1052
(919) 321-2312
Mailing address
3622 LYCKAN PKWY, SUITE 6005, DURHAM, NC 27707-2564
(919) 321-1052
(919) 321-2312
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6601464
—
NC
Enumeration date
12/26/2006
Last updated
08/22/2020
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