Organization
ST. VINCENT HOME CARE SERVICES, INC
Active
Other names
St. Vincent Home Care Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSLIN GARNER KENNON (ADMINISTRATOR)
(704) 853-2111
Entity
Organization
Contact information
Practice address
601 E FRANKLIN BLVD, GASTONIA, NC 28054-7150
(704) 853-2111
(704) 853-2114
Mailing address
P O BOX 803, GASTONIA, NC 28052-0803
(704) 853-2111
(704) 853-2114
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
HC3801
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HC3801
NC HHS DIVISION OF HEALTH SERVICES REGULATION
NC
Enumeration date
04/13/2009
Last updated
04/13/2009
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