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Organization

SELFLESS FOUNDATION, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
YOHMINA KALEI KASEY LICENSED CLINIAL SOC (EXECUTIVE DIRECTOR)
(336) 254-0141
Entity
Organization

Contact information

Practice address
503 W MCGEE ST, GREENSBORO, NC 27401-2702
(336) 285-7616
Mailing address
503 W MCGEE ST, GREENSBORO, NC 27401-2702
(336) 285-7616

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
104100000X
Social Worker
163WC0400X
Case Management Registered Nurse
163WH0200X
Home Health Registered Nurse
2084P0800X
Psychiatry Physician
2084P0805X
Geriatric Psychiatry Physician
251E00000X
Home Health Agency
253Z00000X
In Home Supportive Care Agency
Primary
261QX0100X
Occupational Medicine Clinic/Center
332B00000X
Durable Medical Equipment & Medical Supplies
364SH0200X
Home Health Clinical Nurse Specialist
364SP0813X
Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
374U00000X
Home Health Aide

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1479673
NC SECRETARY OF STATE
NC
Enumeration date
09/12/2019
Last updated
09/12/2019
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