Organization
ENVISIONARY I-CARE
Active
Other names
Home Care Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YVETTE LAVONNE KENNEDY O.D. (DIRECTOR)
(919) 661-2338
Entity
Organization
Contact information
Practice address
133 US HIGHWAY 70 W, GARNER, NC 27529-3942
(919) 661-2338
(919) 661-7464
Mailing address
PO BOX 2222, GARNER, NC 27529-2222
(919) 661-2338
(919) 661-7464
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC3085
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6601334
—
NC
Enumeration date
10/09/2007
Last updated
10/09/2007
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