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Organization

CHAMPION HOUSE OF CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JANETTE LOVERN KINARD (CEO)
(704) 746-8081
Entity
Organization

Contact information

Practice address
5907 BARRINGTON DR, CHARLOTTE, NC 28215-2311
(704) 746-8081
(980) 859-7106
Mailing address
5907 BARRINGTON DR, CHARLOTTE, NC 28215-2311
(704) 746-8081
(980) 859-7106

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
25C00000X
NC

Other

Enumeration date
03/14/2017
Last updated
03/14/2017
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