Renita Kirkman
In Home Supportive Care in Grantsboro, NC. Individual provider (NPI-1).
NPI number1164058186
StatusActive
Last updated in NPPESMar 21, 2020
Details
- NPI
- 1164058186
- Entity type
- Individual (NPI-1)
- Name
- Renita Kirkman
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 21, 2020
- Certification date
- Mar 21, 2020
- Last updated
- Mar 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | HC5411 | NC | Yes |
Practice location
11560 Nc 55 Hwy Ste 7Grantsboro, NC 28529-9447
Phone 252-242-0088
Mailing address
11560 Nc 55 Hwy Ste 7Grantsboro, NC 28529-9447
Phone 252-242-0088
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