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Organization
THE SHEPARD'S HOUSE, LLC
Active
Organization
THE SHEPARD'S HOUSE, LLC
Active
Other names
GoodShepard In Home Health Care,LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARYLE BATTLE (AGENCY DIRECTOR)
(704) 494-8712
Entity
Organization
Contact information
Practice address
6612 E WT HARRIS BLVD, SUITE I, CHARLOTTE, NC 28215-5134
(704) 494-8712
(704) 494-8713
Mailing address
6612 E WT HARRIS BLVD, SUITE I, CHARLOTTE, NC 28215-5134
(704) 494-8712
(704) 494-8713
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
6601534
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418427
—
NC
05
—
6601543
—
NC
Enumeration date
10/20/2006
Last updated
07/05/2011
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