Greenleaf Healthcare, PLLC
In Home Supportive Care in Durham, NC. Organization (NPI-2).
NPI number1053199331
StatusActive
Last updated in NPPESJun 27, 2024
Details
- NPI
- 1053199331
- Entity type
- Organization (NPI-2)
- Legal business name
- Greenleaf Healthcare, PLLC
- Organization subpart
- No
- Enumeration date
- Sep 19, 2023
- Certification date
- Jun 27, 2024
- Last updated
- Jun 27, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
| 251S00000X | Community/Behavioral Health | – | – |
Other names
- Greenleaf Healthcare, PLLC (Former Legal Business Name)
Practice location
5611 Nc Highway 55 Ste 203Durham, NC 27713-4395
Phone 984-480-1375
Mailing address
6409 Fayetteville Rd Ste 120Durham, NC 27713-6297
Phone 984-480-1375 · Fax 984-250-6031
Authorized official
Tiombe Robinson-Muhammad
Owner
9844801375
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