Organization
AMAZING LIGHT HEALTH CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IJEOMA TINA NWOKORO (CEO)
(919) 949-9777
Entity
Organization
Contact information
Practice address
3515 MAITLAND DR, RALEIGH, NC 27610-1239
(919) 949-9777
Mailing address
105 SWITCHBACK ST, KNIGHTDALE, NC 27545-6004
(919) 949-9777
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
HC4784
NC
Other
Enumeration date
07/14/2015
Last updated
05/10/2023
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