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Organization
CRT HOME LLC
Active
Organization
CRT HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESA KELLY BROWN LPN (OWNER)
(704) 300-0536
Entity
Organization
Contact information
Practice address
1026 CUMBERLAND DR, SHELBY, NC 28150-3610
(704) 300-0536
Mailing address
1026 CUMBERLAND DR, SHELBY, NC 28150-3610
(704) 300-0536
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
NULL
164W00000X
Licensed Practical Nurse
Primary
—
—
Other
Enumeration date
12/03/2019
Last updated
12/03/2019
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