Life Changes - Cap Services

NPI #1003193889 in Winston Salem, North Carolina

Provider Information

NPI Number: 1003193889
Entity Type: Organization
Organization Name: Life Changes - Cap Services
Subpart: Yes (part of a larger organization)
Parent Organization: LIFE CHANGES HOME CARE, INC
Primary Specialty: Home Health
Enumeration Date: Nov 8, 2011
Last Updated: Nov 8, 2011

Practice Location

Address: 1001 S MARSHALL ST
Address 2: SUITE 1-75
City: Winston Salem
State: North Carolina
ZIP Code: 27101-5852
Phone: (704) 537-0096

Authorized Official

Name: MR. CEDRIC MOORE
Title: ADMINISTRATOR
Phone: (704) 537-0096

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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