Phenomenal Home Care LLC
NPI #1194570044 in Knightdale, North Carolina
Provider Information
- NPI Number
- 1194570044
- Entity Type
- Organization
- Organization Name
- Phenomenal Home Care LLC
- Primary Specialty
- In Home Supportive Care
- Enumeration Date
- Apr 23, 2024
- Last Updated
- Apr 23, 2024
Practice Location
- Address
- 105 ONYX LN
- City
- Knightdale
- State
- North Carolina
- ZIP Code
- 27545-7873
- Phone
- (252) 955-7893
Authorized Official
- Name
- ALICIA CARTER LYONS
- Title
- DIRECTOR
- Phone
- (252) 955-7893
Specialties & Taxonomy Codes
| Specialty |
|---|
| In Home Supportive Care |
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