Healthcare Provider Details

I. General information

NPI: 1427723311
Provider Name (Legal Business Name): SHERI SAUNDERS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2021
Last Update Date: 08/12/2021
Certification Date: 08/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

238 S ALLEN RD STE 206
WAKE FOREST NC
27587-2608
US

IV. Provider business mailing address

238 S ALLEN RD STE 206
WAKE FOREST NC
27587-2608
US

V. Phone/Fax

Practice location:
  • Phone: 919-633-2608
  • Fax: 984-237-0039
Mailing address:
  • Phone: 919-633-2608
  • Fax: 984-237-0039

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHC6140
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberHC6140
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License NumberHC6140
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License NumberHC6140
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: