NPI 1538444815

Innovative Family Care of the Carolina's

Organisation Health Maintenance Organization Durham, NC

Practice location

Address: 2515 Nc Hwy 55 Suite B, Durham, NC 27713-1374
Phone: (919) 596-0094

Authorised official

Name: Shawntel Lee Pichardo
Title: President
Phone: (919) 264-3398

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

Other Health Maintenance Organization providers in North Carolina →

Registry record

NPI: 1538444815
Entity type: Organization
NPI issued: 18 Oct 2011
Record last updated: 18 Oct 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.