Provider Demographics
NPI:1609139666
Name:MY SISTER'S KEEPER OF THE TRIANGLE, INC.
Entity Type:Organization
Organization Name:MY SISTER'S KEEPER OF THE TRIANGLE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:LEACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-508-6124
Mailing Address - Street 1:PO BOX 27001
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27611-7001
Mailing Address - Country:US
Mailing Address - Phone:919-508-6124
Mailing Address - Fax:888-651-4495
Practice Address - Street 1:4922 WINDY HILL DR STE A
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-5196
Practice Address - Country:US
Practice Address - Phone:919-508-6124
Practice Address - Fax:888-651-4495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-24
Last Update Date:2014-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management