Organization
CAROLINA HEALTHCARE SOUTHEAST REGION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE DENISE MCLAIN (OWNER)
(336) 608-1548
Entity
Organization
Contact information
Practice address
10612 PROVIDENCE RD STE D-250, CHARLOTTE, NC 28277-0459
(336) 608-1548
(336) 397-0096
Mailing address
301 N MAIN ST, SUITE 2501, WINSTON SALEM, NC 27101-3836
(336) 608-1548
(336) 397-0096
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC3361
NC
Other
Enumeration date
01/06/2010
Last updated
01/06/2010
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