# CC ELDERLY CARE CONNECTION

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

## Provider details

- **NPI number:** 1760991806
- **Authorized official:** MISS DOMINIQUE SEQUIOA HAMRICK (OWNER)
- **Authorized official phone:** (980) 200-5370

## Contact information

- **Practice address:** 150 BW THOMAS DR, FORT MILL, SC 29708-7230
- **Practice address phone:** (980) 200-5370
- **Mailing address:** 1711 COPPERPLATE RD, CHARLOTTE, NC 28262-6435
- **Mailing address phone:** (980) 200-5370

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 347E00000X | Transportation Broker | — | NULL | Yes |

## Other

- **Enumeration date:** 09/20/2017
- **Last updated:** 09/20/2017
