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Organization
GREEN PASTURES HOME CARE
Active
Organization
GREEN PASTURES HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY GRAY (OWNER)
(704) 241-5601
Entity
Organization
Contact information
Practice address
10130 MALLARD CREEK RD STE 300, CHARLOTTE, NC 28262-6001
(704) 241-5601
Mailing address
10130 MALLARD CREEK RD STE 300, CHARLOTTE, NC 28262-6001
(704) 241-5601
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/08/2019
Last updated
11/08/2019
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