Organization
GIAVONNIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS RONDESHYA K COSBY LPN (OWNER)
(315) 412-4900
Entity
Organization
Contact information
Practice address
1095 UNION BRANCH RD, CORAPEAKE, NC 27926-9629
(315) 412-4900
Mailing address
76 LOUISE ST, GATES, NC 27937
(315) 412-4900
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
70915
NC
Other
Enumeration date
04/30/2012
Last updated
04/30/2012
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