Organization
GOODWILL HOME CARE AGENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAQUEL THOMAS (OWNER)
(336) 587-8797
Entity
Organization
Contact information
Practice address
5421 OLD POOLE RD STE 105, RALEIGH, NC 27610-3285
(800) 998-0929
Mailing address
5421 OLD POOLE RD STE 105, RALEIGH, NC 27610-3285
(800) 998-0929
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HC6636
—
NC
Enumeration date
07/12/2022
Last updated
10/02/2023
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