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Organization
CMT HOME HEALTH AGENCY
Active
Organization
CMT HOME HEALTH AGENCY
Active
Parent organization
CABARRUS-MECKLENBURG TRANSPORT
Organization subpart
Yes
Provider details
NPI number
Legal business name
CABARRUS-MECKLENBURG TRANSPORT
Authorized official
AUGUSTINE KOTEE OWNER (MEMBER)
(704) 262-6914
Entity
Organization
Contact information
Practice address
2604 S RIDGE AVE, CONCORD, NC 28025-2852
(704) 262-6914
(800) 886-8442
Mailing address
2604 S RIDGE AVE, CONCORD, NC 28025-2852
(704) 262-6914
(800) 886-8442
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251T00000X
PACE Provider Organization
—
—
253Z00000X
In Home Supportive Care Agency
—
NC
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418940
—
NC
Enumeration date
07/05/2011
Last updated
07/05/2011
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