Organization
LOYAL HOME HEALTHCARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PRECIOUSE ADULA WILSON (MEMBER/ORGANIZER)
(704) 296-9549
Entity
Organization
Contact information
Practice address
5511 MONROE RD STE 201, CHARLOTTE, NC 28212-5503
(704) 296-9549
Mailing address
5511 MONROE RD STE 201, CHARLOTTE, NC 28212-5503
(704) 296-9549
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC4103
NC
Other
Enumeration date
06/10/2010
Last updated
06/25/2010
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