Organization
ANNIE & KHAMORAH'S PLACE
Active
Other names
Khamorah Selby
Organization subpart
No
Provider details
NPI number
Authorized official
MARVIN SELBY (OWNER/CEO)
(919) 838-1624
Entity
Organization
Contact information
Practice address
2917 FAIRWAY DRIVE, RALEIGH, NC 27603
(919) 779-4658
(919) 779-4658
Mailing address
2917 FAIRWAY DRIVE, RALEIGH, NC 27603
(919) 779-4658
(919) 779-4658
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/01/2010
Last updated
12/01/2010
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