Organization
ASSURED CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AUDREY LOVELLA SMITH (OWNER/ADMINISTRATIVE DIRECTOR)
(704) 334-4820
Entity
Organization
Contact information
Practice address
1409 EAST BLVD, SUITE 110, CHARLOTTE, NC 28203-5817
(704) 334-4820
(704) 334-4821
Mailing address
6977 NEXUS CT, SUITE 104, FAYETTEVILLE, NC 28304-2650
(910) 223-0032
(910) 223-0255
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC3774
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HC3774
—
NC
Enumeration date
03/03/2009
Last updated
10/03/2016
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