NPI 1033937818
Supportive Services
Practice location
- Address
- 6408 Willow Fox CT, Raleigh, NC 27616-6359
- Phone
- (919) 757-3067
- Mailing address
- 3064 Wake Forest Rd # 1140, Raleigh, NC 27609-7844
Authorised official
- Name
- Iheoma Nnenna Alaribe
- Title
- President
- Phone
- (919) 757-3067
Registered specialties
Adult Care Home Facility
Primary
Registry record
- NPI
- 1033937818
- Entity type
- Organization
- NPI issued
- 30 Sep 2024
- Record last updated
- 30 Sep 2024
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.