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Organization
ST. MARY'S HOME CARE SERVICES, INC.
Active
Organization
ST. MARY'S HOME CARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELTON LEE JOSEPH (OWNER)
(202) 441-2486
Entity
Organization
Contact information
Practice address
1977 J N PEASE PL, SUITE 202, CHARLOTTE, NC 28262-4508
(704) 335-1900
(704) 335-1888
Mailing address
1977 J N PEASE PL, SUITE 202, CHARLOTTE, NC 28262-4508
(704) 335-1900
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409341
—
NC
05
—
6600781
—
NC
05
—
6601123
—
NC
05
—
6601144
—
NC
05
—
6601186
—
NC
05
—
6601244
—
NC
Enumeration date
01/28/2013
Last updated
01/28/2013
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