Organization
RJR KALLI, LLC
Active
Other names
RJR Kallie Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH PETEN (AGENCY DIRECTOR)
(919) 750-7195
Entity
Organization
Contact information
Practice address
113 N RAILROAD ST, MAGNOLIA, NC 28453
(919) 750-7195
Mailing address
1114 ELIZABETH ST, GOLDSBORO, NC 27530-1940
(919) 750-7195
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/10/2020
Last updated
01/13/2020
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