Organization
WAKE FOREST BAPTIST HEALTH CARE AT HOME, LLC
Active
Other names
Atrium Health Wake Forest Baptist - Care at Home
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED SIGNATORY)
(913) 814-2077
Entity
Organization
Contact information
Practice address
2000 FRONTIS PLAZA BLVD, SUITE 303, WINSTON SALEM, NC 27103-5616
(336) 760-1838
Mailing address
6330 SPRINT PKWY STE 300, OVERLAND PARK, KS 66211-1157
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861422990
—
NC
Enumeration date
07/04/2006
Last updated
08/10/2023
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