Provider Demographics
NPI:1043932429
Name:CHISLEY, ALLISON (AFL PROVIDER)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:CHISLEY
Suffix:
Gender:F
Credentials:AFL PROVIDER
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:
Other - Last Name:CHISLEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:WE CARE HOME SUPPORT
Mailing Address - Street 1:2430 SHEPHERD VALLEY ST
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-2098
Mailing Address - Country:US
Mailing Address - Phone:919-523-8651
Mailing Address - Fax:
Practice Address - Street 1:2430 SHEPHERD VALLEY ST
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-2098
Practice Address - Country:US
Practice Address - Phone:800-290-1728
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-13
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No372600000XNursing Service Related ProvidersAdult Companion
No172V00000XOther Service ProvidersCommunity Health Worker
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty