Organization
SYMAKLA HOME HEATLHCARE PROFESSIONALS OF NORTH CAROLINA
Active
Parent organization
SYMAKLA WATSON INVESTMENTS CORPORATION
Other names
Symakla Home Healthcare
Organization subpart
Yes
Provider details
NPI number
Legal business name
SYMAKLA WATSON INVESTMENTS CORPORATION
Authorized official
LASONYA S WATSON MBA (ADMINISTRATOR)
(704) 947-8383
Entity
Organization
Contact information
Practice address
1909 J N PEASE PL, SUITE 101, CHARLOTTE, NC 28262-4558
(704) 947-8383
(704) 717-3168
Mailing address
1909 J N PEASE PL, SUITE 101, CHARLOTTE, NC 28262-4558
(704) 947-8383
(704) 717-3168
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC3420
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3418216
CAP/ DISABLED ADULT, CAP/ CHILDREN PROGRAMS, CAP/CHOICE
NC
05
—
6601527
—
NC
01
—
HC3420
DFS LICENSE NUMBER
NC
Enumeration date
08/25/2006
Last updated
07/27/2012
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