# EMERALD HEART FAMILY CARE HOME LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730880873
- **Authorized official:** SHARNEICE KHALEA DAVIS RN (OWNER)
- **Authorized official phone:** (704) 309-9244

## Contact information

- **Practice address:** 4911 REEDMONT LN, CHARLOTTE, NC 28269-1631
- **Practice address phone:** (704) 309-9244
- **Mailing address:** 4911 REEDMONT LN, CHARLOTTE, NC 28269-1631

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |
| 320700000X | Physical Disabilities Residential Treatment Facility | — | NULL | — |

## Other

- **Enumeration date:** 03/15/2023
- **Last updated:** 06/20/2024