| Wakemed Hospitalist Group Home | |
|
2820 Kidd Rd Raleigh NC 27610-1842 | |
| (919) 350-2800 | |
| (919) 350-8147 |
| Full Name | Wakemed Hospitalist Group Home |
|---|---|
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
| Location | 2820 Kidd Rd, Raleigh, North Carolina |
| Authorized Official Name and Position | Maria Jayoussi (EXECUTIVE DIRECTOR OF FINANCE) |
| Authorized Official Contact | 9193506089 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wakemed Hospitalist Group Home Po Box 603949 Charlotte NC 28260-3949 Ph: (919) 350-0552 | Wakemed Hospitalist Group Home 2820 Kidd Rd Raleigh NC 27610-1842 Ph: (919) 350-2800 |
| NPI Number | 1255995643 |
|---|---|
| Provider Enumeration Date | 05/01/2019 |
| Last Update Date | 08/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255995643 | NPI | - | NPPES |
| 1255995643 | Medicaid | NC |
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