Provider Demographics
NPI:1396385779
Name:FAVOR HOME CARE, INC.
Entity Type:Organization
Organization Name:FAVOR HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ONYE
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:ONUOHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-426-1653
Mailing Address - Street 1:130 SELSEY DR
Mailing Address - Street 2:
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27587-4908
Mailing Address - Country:US
Mailing Address - Phone:919-426-1653
Mailing Address - Fax:
Practice Address - Street 1:130 SELSEY DR
Practice Address - Street 2:
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-4908
Practice Address - Country:US
Practice Address - Phone:919-426-1653
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-13
Last Update Date:2020-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care