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NPI Code Detail

MEDICARE: CARERESTORELLC

MEDICARE: CARERESTORELLC
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
1251K00000XPublic Health or Welfare Agency
2251B00000XCase Management Agency
3253Z00000XIn Home Supportive Care Agency
4251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1457050742
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARERESTORELLC
Provider Business Mailing Address
First Line : 116 RIVER PEARL ST
Second Line :
City : RALEIGH
State : NC
Zip : 27603-4145
Country : US
Telephone Number : 919-400-0057
Fax Number :
Provider Business Practice Location Address
First Line : 116 RIVER PEARL ST
Second Line :
City : RALEIGH
State : NC
Zip : 27603-4145
Country : US
Telephone Number : 919-530-9323
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : DR. CHARITY OBIAGELI UZOCHUKWU
Credential : PH.D.
Telephone Number : 919-400-0057
Provider Enumeration Date : 02/27/2023
Last Update Date : 05/28/2026

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Directions to “CARERESTORELLC ” Practice Location

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