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NPI Code Detail

MEDICARE: STABILIZING FAMILIES AND INDIVIDUALS, LLC

MEDICARE: STABILIZING FAMILIES AND INDIVIDUALS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1376782896
Entity Type Code : Organization
Provider Name (Legal Business Name) : STABILIZING FAMILIES AND INDIVIDUALS, LLC
Provider Business Mailing Address
First Line : 4819 EMPEROR BLVD
Second Line : SUITE 400
City : DURHAM
State : NC
Zip : 27703-5420
Country : US
Telephone Number : 919-606-1707
Fax Number :
Provider Business Practice Location Address
First Line : 4819 EMPEROR BLVD
Second Line : SUITE 400
City : DURHAM
State : NC
Zip : 27703-5420
Country : US
Telephone Number : 919-606-1707
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. ISAAC LEE HERNDON III
Credential :
Telephone Number : 919-606-1707
Provider Enumeration Date : 02/05/2009
Last Update Date : 02/05/2009

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Directions to “STABILIZING FAMILIES AND INDIVIDUALS, LLC ” Practice Location

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