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Organization
THERACARE HEALTH AND WELLNESS, LLC
Active
Organization
THERACARE HEALTH AND WELLNESS, LLC
Active
Other names
TheraCare Health and Wellness, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DEIRDRE BOOKER PIPPINS (ADMINISTRATOR)
(704) 671-8251
Entity
Organization
Contact information
Practice address
101 S TRYON ST STE 2700, CHARLOTTE, NC 28280-0005
(704) 671-8251
Mailing address
101 S TRYON ST STE 2700, CHARLOTTE, NC 28280-0005
(704) 671-8251
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
Primary
HC2834
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6601216
—
NC
05
—
CBT035
—
SC
05
—
EX0903
—
SC
Enumeration date
11/20/2006
Last updated
04/25/2024
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