Organization
HATHOR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOLULOPE IDRIS (AGENCY ADMINISTRATOR)
(919) 397-5242
Entity
Organization
Contact information
Practice address
69 MONTHAVEN DR, ST AUGUSTINE, FL 32092-3361
(919) 397-5242
Mailing address
69 MONTHAVEN DR, ST AUGUSTINE, FL 32092-3361
(919) 397-5242
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/03/2025
Last updated
09/03/2025
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