Organization
PURPOSE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAMIE RENEE ROSE RN (AGENCY DIRECTOR)
(336) 402-7076
Entity
Organization
Contact information
Practice address
2219 WILLOW RD, GREENSBORO, NC 27406-4749
(336) 402-7076
Mailing address
2219 WILLOW RD, GREENSBORO, NC 27406-4749
(336) 402-7076
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/15/2024
Last updated
11/02/2024
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