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Organization
HOME CARE AT THE LAKE, INC
Active
Organization
HOME CARE AT THE LAKE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN H SMITH (PRESIDENT/HOME CARE COORDINATOR)
(704) 662-9911
Entity
Organization
Contact information
Practice address
470 N BROAD ST, SUITE E, MOORESVILLE, NC 28115-3083
(704) 662-9911
(704) 662-9080
Mailing address
470 N BROAD ST, SUITE E, MOORESVILLE, NC 28115-3083
(704) 662-9911
(704) 662-9080
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC2245
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6600882
—
NC
Enumeration date
10/21/2006
Last updated
12/04/2007
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