| NPI | 1144458225 |
|---|---|
| Former Legal Business Name | PRIVILEGE CARE PLUS INC |
| Entity Type | Organization |
| Authorized Contact | DYONISIA RENEE DAVIS Owner 919-223-5208 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2009-06-26 |