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Organization

PERSONAL CARE SERVICES OF THE CAROLINAS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARY LAVONNE WALKER-HOWARD (CO-OWNER/MEMBER)
(704) 605-8219
Entity
Organization

Contact information

Practice address
800 W HILL ST, SUITE 207, CHARLOTTE, NC 28208-5360
(704) 605-8219
Mailing address
800 W HILL ST STE 207, CHARLOTTE, NC 28208-5361
(704) 605-8219

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC4550
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
120285
FACILITY ID
NC
01
HC4550
LICENSE NUMBER
NC
Enumeration date
06/26/2012
Last updated
06/26/2012
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