In-home Care Of The Triad, Llc

NPI 1104105188 - In Home Supportive Care - 253Z00000X

NPI Details
NPI 1104105188
Enumeration Date 08/09/2011
Last Updated 08/09/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name RUSSELL Y RUSSELL
Position PRESIDENT & CEO
Phone (336) 310-0770
Fax
Practice Location
125 S MAIN ST
KERNERSVILLE NC, 27284-2757, US
Phone (336) 310-0770
Fax
Business Location
125 S MAIN ST
KERNERSVILLE NC, 27284-2757, US
Phone
Fax
Toxanomy
Taxonomy Code 253Z00000X
License State North Carolina
License Number HC4374
Remove 1104105188 NPI Number
 

According to our database, In-home Care Of The Triad, Llc NPI is 1104105188, taxonomy code is 253Z00000X and license number is HC4374, license state is located at North Carolina. In-home Care Of The Triad, Llc physically located at 125 S Main St, Kernersville NC, 27284-2757. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1104105188 NPI number is provided on an as is basis without warranty of any kind. 1104105188 is maintained by the National Plan & Provider Enumeration System. The contents of In-home Care Of The Triad, Llc are for informational purposes only.