Provider Demographics
NPI:1659816015
Name:INFINITE CARE CENTER
Entity Type:Organization
Organization Name:INFINITE CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C E O
Authorized Official - Prefix:
Authorized Official - First Name:SHOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:OKUNOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-673-1643
Mailing Address - Street 1:815 LAURENS WAY
Mailing Address - Street 2:
Mailing Address - City:KNIGHTDALE
Mailing Address - State:NC
Mailing Address - Zip Code:27545
Mailing Address - Country:US
Mailing Address - Phone:919-673-1643
Mailing Address - Fax:
Practice Address - Street 1:815 LAURENS WAY
Practice Address - Street 2:
Practice Address - City:KNIGHTDALE
Practice Address - State:NC
Practice Address - Zip Code:27545-7881
Practice Address - Country:US
Practice Address - Phone:919-673-1643
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-21
Last Update Date:2016-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care