Individual
SYLVIE A FANDOHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
131 PLANTATION RIDGE DR STE 305, MOORESVILLE, NC 28117-9543
(828) 540-0112
Mailing address
131 PLANTATION RIDGE DR STE 305, MOORESVILLE, NC 28117-9543
(828) 540-0112
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC7552
NC
253Z00000X
In Home Supportive Care Agency
HC7552
NC
385H00000X
Respite Care
HC7552
NC
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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