Organization
HOMELIFE CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MANG (MANAGING PARTNER)
(919) 815-1772
Entity
Organization
Contact information
Practice address
2500 REGENCY PKWY, CARY, NC 27518-8549
(919) 815-1772
Mailing address
5117 CASLAND DR, RALEIGH, NC 27604-5450
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC4597
NC
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
HC4597
NC
Other
Enumeration date
05/22/2013
Last updated
05/22/2013
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