Organization · NPI-2

Avid Health At Home North Carolina

In Home Supportive Care · Wilmington, NC

NPI number1205825759
StatusActive
Last updated in NPPESDec 31, 2024

Details

NPI
1205825759
Entity type
Organization (NPI-2)
Legal business name
Avid Health At Home North Carolina
Organization subpart
No
Enumeration date
Oct 18, 2005
Certification date
Dec 31, 2024
Last updated
Dec 31, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive CareHC0088NCYes
251E00000X Home HealthHC1231NC
251J00000X Nursing CareHC0088NC

Other names

  • Avid Health At Home Nc (Doing Business As)

Practice location

1508 Military Cutoff Rd Ste 304
Wilmington, NC 28403-5730

Phone 910-452-1555 · Fax 910-343-0352

Mailing address

1508 Military Cutoff Rd Ste 304
Wilmington, NC 28403-5730

Phone 910-343-9996 · Fax 910-343-0352

Authorized official

Jennifer Lentz
Ceo
5164586769

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