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Organization
CONNECTED CREW
Active
Organization
CONNECTED CREW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEON HORSEY III (OWNER)
(980) 515-2191
Entity
Organization
Contact information
Practice address
2712 FREEDOM DR STE B, CHARLOTTE, NC 28208-3854
(980) 252-0038
Mailing address
300 HYDRANGEA DR, CLOVER, SC 29710-8859
(980) 515-2191
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
NULL
251B00000X
Case Management Agency
—
NULL
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
251E00000X
Home Health Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
253J00000X
Foster Care Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
261Q00000X
Clinic/Center
—
NULL
261QA0600X
Adult Day Care Clinic/Center
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QR0400X
Rehabilitation Clinic/Center
Primary
—
NULL
310400000X
Assisted Living Facility
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
347E00000X
Transportation Broker
—
NULL
Other
Enumeration date
11/08/2024
Last updated
12/31/2025
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