Organization Name: | STAY AT HOME SENIOR CARE, LLC |
NPI Number: | 1578893467 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBORAH BORDEAUX (PRESIDENT) |
Mailing Address: | 2014 S Main St Suite 610 Wake Forest |
State: | NC US |
Postal Code: | 275874339 |
Phone Number: | 9195563706 |
Fax Number: | |
NPI Enumeration Date: | 12/28/2009 |
NPI Last Update Date: | 12/28/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 230375126 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |