Organization
DIVERSE CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CYNTHIA LOUISE MCCOY (CHIEF EXECUTIVE OFFICER)
(704) 664-5557
Entity
Organization
Contact information
Practice address
1485 CHILDERS ROAD, MOUNT ULLA, NC 28125
(704) 664-5557
Mailing address
1275 RELATIVE ROAD, POST OFFICE BOX 654, MOUNT ULLA, NC 28125
(704) 664-5557
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
NC
Other
Enumeration date
02/12/2010
Last updated
02/25/2010
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