Organization
LUCKEY QUALITY HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LANISHA LUCKEY (CHIEF EXECUTIVE OFFICER)
(704) 512-1317
Entity
Organization
Contact information
Practice address
11709 FRUEHAUF DR STE 123, CHARLOTTE, NC 28273-7286
(704) 777-3061
Mailing address
11709 FRUEHAUF DR STE 123, CHARLOTTE, NC 28273-7286
(704) 777-3061
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/26/2021
Last updated
06/21/2023
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