Healthcare Provider Details
I. General information
NPI: 1528666187
Provider Name (Legal Business Name): DAUGHTERS LIKE ME, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/15/2020
Last Update Date: 10/15/2020
Certification Date: 10/15/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
109 W BYRD STREET
WINDSOR NC
27983
US
IV. Provider business mailing address
109 W BYRD STREET
WINDSOR NC
27983
US
V. Phone/Fax
- Phone: 252-287-7934
- Fax:
- Phone: 252-287-7934
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 376K00000X |
| Taxonomy | Nurse's Aide |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 385H00000X |
| Taxonomy | Respite Care |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MISS
LATOYA
NICOLE
WATFORD
Title or Position: OWNER
Credential:
Phone: 252-287-7934