Provider Demographics
NPI:1548853542
Name:ALL LIFE HOME CARE LLC
Entity type:Organization
Organization Name:ALL LIFE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KINGSLEY
Authorized Official - Middle Name:UZOMA
Authorized Official - Last Name:ONUKANSI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-438-9085
Mailing Address - Street 1:5710 SIX FORKS RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-0041
Mailing Address - Country:US
Mailing Address - Phone:919-438-9085
Mailing Address - Fax:
Practice Address - Street 1:5710 SIX FORKS RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-0041
Practice Address - Country:US
Practice Address - Phone:919-438-9085
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-19
Last Update Date:2021-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care