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Organization
HIS GRACE AND MERCY HOME CARE LLC
Active
Organization
HIS GRACE AND MERCY HOME CARE LLC
Active
Other names
chiro home care
Organization subpart
No
Provider details
NPI number
Authorized official
NIKIA ROSEBORO (OWNER)
(980) 819-7540
Entity
Organization
Contact information
Practice address
3125 EASTWAY DR STE 213, CHARLOTTE, NC 28205-5643
(980) 819-7540
Mailing address
3125 EASTWAY DR STE 213, CHARLOTTE, NC 28205-5643
(980) 819-7540
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210776
—
NC
Enumeration date
10/12/2021
Last updated
10/12/2021
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