Upward Change Health Service

NPI 1659782332 - In Home Supportive Care - 253Z00000X

NPI Details
NPI 1659782332
Enumeration Date 05/15/2014
Last Updated 05/15/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name LATASHA MACHELLE-KELLY LATASHA
Position TEAM LEAD, CLINICAL THERAPIST
Phone (919) 682-5300
Fax
Practice Location
807 E MAIN ST
APT 2931
DURHAM NC, 27701-4074, US
Phone (919) 682-5300
Fax
Business Location
807 E MAIN ST
DURHAM NC, 27701-4074, US
Phone (919) 682-5300
Fax
Toxanomy
Taxonomy Code 253Z00000X
License State North Carolina
License Number P007600
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According to our database, Upward Change Health Service NPI is 1659782332, taxonomy code is 253Z00000X and license number is P007600, license state is located at North Carolina. Upward Change Health Service physically located at 807 E Main St, Durham NC, 27701-4074. NPI Number 1033115704 has the healthcare provider type.

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1659782332 NPI number is provided on an as is basis without warranty of any kind. 1659782332 is maintained by the National Plan & Provider Enumeration System. The contents of Upward Change Health Service are for informational purposes only.