Organization · Type 2 NPI

Wakemed Specialists Group LLC

Intellectual Disabilities Intermediate Care Facility · Raleigh, NC

NPI number 1255995643 Active

Practice location

2820 Kidd Rd
Raleigh, NC 27610-1842

Call (919) 350-2800 Map

Fax (919) 350-8147

Mailing address

PO Box 603949
Charlotte, NC 28260-3949

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Pediatrics Physician 208000000XNone listed
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XNone listed

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

3 other providers at this address

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About NPI 1255995643

Wakemed Specialists Group LLC's National Provider Identifier is 1255995643, issued on May 1, 2019. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Raleigh, NC. The record was last updated on Aug 13, 2019.