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Organization
MOORESVILLE HOSPITAL MANAGEMENT ASSOCIATES LLC
Active
Organization
MOORESVILLE HOSPITAL MANAGEMENT ASSOCIATES LLC
Active
Other names
Lake Norman Regional Medical Center Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE J HOLTSFORD (AUTHORIZED)
(615) 465-7466
Entity
Organization
Contact information
Practice address
170 MEDICAL PARK RD, SUITE 208, MOORESVILLE, NC 28117-8541
(704) 660-4480
(704) 662-3312
Mailing address
170 MEDICAL PARK RD, SUITE 208, MOORESVILLE, NC 28117-8541
(704) 660-4480
(704) 662-3312
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC1325NC
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00318
BC NC
NC
05
—
3407215
—
NC
05
—
3417215
—
NC
Enumeration date
06/05/2006
Last updated
01/29/2014
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