NPI 1124302906
Supplemental Healthcare Staffing
Practice location
- Address
- 2626 Glenwood Ave Suite160, Raleigh, NC 27608-1043
- Phone
- (919) 781-9565
- Fax
- (919) 781-9564
- Mailing address
- 612 Cecil St, Durham, NC 27707-3232
Authorised official
- Name
- Athena Wilson
- Title
- Respiratory Thearpist
- Phone
- (919) 698-9253
Registered specialties
Nursing Care Agency
Primary
Registry record
- NPI
- 1124302906
- Entity type
- Organization
- NPI issued
- 28 Sep 2011
- Record last updated
- 28 Sep 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.