Individual provider · Type 1 NPI
Antonio Demetrius Powell Sr.
Home Health Agency · Timberlake, NC
Practice location
90 Blackgum Dr
Timberlake, NC 27583-8861
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Agency Primary | 251E00000X | 000007168003 (NC) |
Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…
About NPI 1467314658
Antonio Demetrius Powell Sr.'s National Provider Identifier is 1467314658, issued on Nov 26, 2025. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Timberlake, NC. The record was last updated on Nov 26, 2025.