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Organization
CANNON HOME HEALTHCARE
Active
Organization
CANNON HOME HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG J KRYPEL MSED (VP OF OPERATIONS)
(704) 491-9702
Entity
Organization
Contact information
Practice address
7108 HOLLYHOUSE DR, CHARLOTTE, NC 28215-3734
(704) 491-9702
(704) 454-7464
Mailing address
7108 HOLLYHOUSE DR, CHARLOTTE, NC 28215-3734
(704) 491-9702
(704) 454-7464
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NC
251G00000X
Community Based Hospice Care Agency
—
NC
251J00000X
Nursing Care Agency
—
NC
253Z00000X
In Home Supportive Care Agency
—
NC
Other
Enumeration date
04/19/2012
Last updated
04/19/2012
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