NPI 1194570044
Phenomenal Home Care LLC
Practice location
- Address
- 105 Onyx Ln, Knightdale, NC 27545-7873
- Phone
- (252) 955-7893
Authorised official
- Name
- Alicia Carter Lyons
- Title
- Director
- Phone
- (252) 955-7893
Registered specialties
In Home Supportive Care Agency
Primary
Registry record
- NPI
- 1194570044
- Entity type
- Organization
- NPI issued
- 23 Apr 2024
- Record last updated
- 23 Apr 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.