Provider Demographics
NPI:1831641604
Name:PP&V HEALTH CARE SOLUTIONS LLC
Entity Type:Organization
Organization Name:PP&V HEALTH CARE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:IKE
Authorized Official - Middle Name:I
Authorized Official - Last Name:OSUORJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-641-2791
Mailing Address - Street 1:4901 PACES FERRY DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27712-4103
Mailing Address - Country:US
Mailing Address - Phone:919-641-2791
Mailing Address - Fax:
Practice Address - Street 1:4901 PACES FERRY DR
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27712-4103
Practice Address - Country:US
Practice Address - Phone:919-641-2791
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-27
Last Update Date:2016-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL-032-612311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home