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NPI 1336768811 · live from the CMS NPI Registry

A Family Friend LLC

Home Health in Raleigh, NC. National Provider Identifier 1336768811, active.

NPI record

NPI1336768811 Type 2 · organization
StatusActive
Primary specialtyHome Health 251E00000X
Practice location702 N Person St, Raleigh, NC 27604
Practice phone919-626-4917
Mailing address4133 Bay Rum Ln, Raleigh, NC 27610
EnumeratedApril 14, 2020
Last updatedApril 14, 2020
Authorized officialKimble Breazell, Ceo/ Founder
Other namesA Family Friend Home Care

Taxonomies and licenses

TaxonomyCodeLicense
Nursing Care251J00000X—
In Home Supportive Care253Z00000X—
Respite Care385H00000X—
Prevention Professional405300000X—
Home Health primary251E00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.