Grantham, Darian L

Grantham, Darian L is an individual health care provider with primary practice located at 1223 Porter St , Goldsboro NC 27530-6713. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Health Service, Nursing Service Related Providers / Adult Companion. Nursing Service Related Providers / Adult Companion is his primary health care specialty. Grantham, Darian L can be contacted via phone (919) 734-1848.

Contact Information

Primary practice address
1223 Porter St Goldsboro NC 27530-6713
Phone: (919) 734-1848
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X
Behavioral Health & Social Service Providers / Health Service 103TH0100X
Nursing Service Related Providers / Adult Companion 372600000X

Profile Details

NPI number 1568958858
LBN Legal business name Grantham, Darian L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2018
Last updated Jul 10th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568958858 NPPES
North Carolina MEDICAID 47-3535658

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