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Organization
WISE SHAHID L.L.C.
Active
Organization
WISE SHAHID L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WISE C SHAHID (OWNER)
(804) 610-5522
Entity
Organization
Contact information
Practice address
3000 HIGH GLEN DR APT F, CHARLOTTE, NC 28269-9741
(804) 610-5522
Mailing address
3000 HIGH GLEN DR APT F, CHARLOTTE, NC 28269-9741
(804) 610-5522
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
07/04/2026
Last updated
07/04/2026
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