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NPI 1124696604

OrganizationActive

Assured Extra Care Inc

NPI 1124696604 · Home Health Registered Nurse · Raleigh, NC

Provider details

NPI number: 1124696604
Entity type: Organization
Primary specialty: Home Health Registered NurseNursing Service Providers
Parent organization: Assured Extra Care Inc
Authorized official: Omoyemi Fasheun, Administrator

Practice location

5540 Centerview Dr Ste 200

Raleigh, NC 27606-3386

Phone: (832) 794-5177

More NC providers

Mailing address

12203 Resident Cir # 12203

Cary, NC 27519-9467

Registry dates

Enumerated: 2021-06-11
Last updated: 2021-06-11

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Assured Extra Care Inc — NPI 1124696604, Raleigh, NC | NPI Central