NPI 1003193889

Life Changes - Cap Services

Organisation Home Health Agency Winston Salem, NC

Practice location

Address: 1001 S Marshall St Suite 1-75, Winston Salem, NC 27101-5852
Phone: (704) 537-0096
Fax: (704) 537-6080
Mailing address: 1001 E Wt Harris Blvd Suite P-192, Charlotte, NC 28213-4104

Authorised official

Name: Cedric Moore
Title: Administrator
Phone: (704) 537-0096

Registered specialties

Home Health Agency Primary

Agencies Taxonomy 251E00000X Licence HC4410 (NC)

Other Home Health providers in North Carolina →

Registry record

NPI: 1003193889
Entity type: Organization
NPI issued: 8 Nov 2011
Record last updated: 8 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.