Omega Independent Living Services, Inc.
NPI #1659513653 in Cary, North Carolina
Provider Information
- NPI Number
- 1659513653
- Entity Type
- Organization
- Organization Name
- Omega Independent Living Services, Inc.
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Apr 6, 2009
- Last Updated
- Apr 6, 2009
Practice Location
- Address
- 2410 PINEY PLAINS RD
- City
- Cary
- State
- North Carolina
- ZIP Code
- 27518-6868
- Phone
- (919) 255-3268
Authorized Official
- Name
- MR. DONALD K GRANTHAM
- Title
- DIRECTOR OF OPERATIONS
- Phone
- (919) 255-3268
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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