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Organization
TABONO CAP SERVICES
Active
Organization
TABONO CAP SERVICES
Active
Parent organization
TABONO CARE SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
TABONO CARE SERVICES
Authorized official
MS. TAMARA D LEWIS (OWNER)
(704) 892-1300
Entity
Organization
Contact information
Practice address
16930 W CATAWBA AVE, SUITE 100-C, CORNELIUS, NC 28031-5638
(704) 892-1300
(704) 892-1505
Mailing address
PO BOX 480428, CHARLOTTE, NC 28269-5320
(704) 892-1300
(704) 892-1505
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC4110
NC
3747A0650X
Attendant Care Provider
HC4110
NC
3747P1801X
Personal Care Attendant
HC4110
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418923
—
NC
Enumeration date
05/24/2011
Last updated
06/10/2011
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