| 3ehome Visiting Provider LLC | |
|
7614 Cedar Chase Dr Greensboro NC 27455-8385 | |
| (702) 328-1646 | |
| Not Available |
| Full Name | 3ehome Visiting Provider LLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 7614 Cedar Chase Dr, Greensboro, North Carolina |
| Authorized Official Name and Position | Demissie Solomon (NURSE PRACTITIONER) |
| Authorized Official Contact | 7023281646 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 3ehome Visiting Provider LLC 7614 Cedar Chase Dr Greensboro NC 27455-8385 | 3ehome Visiting Provider LLC 7614 Cedar Chase Dr Greensboro NC 27455-8385 Ph: (702) 328-1646 |
| NPI Number | 1003530197 |
|---|---|
| Provider Enumeration Date | 10/03/2022 |
| Last Update Date | 10/04/2022 |
| Certification Date | 10/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003530197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (NU) | Primary |
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