Organization
PURE MAGIC HEALTH SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATONYA WILSON (RN/OWNER)
(704) 891-8197
Entity
Organization
Contact information
Practice address
8501C TOWER POINT DR STE C-11, CHARLOTTE, NC 28227-7730
(704) 891-8197
Mailing address
422 KINGVILLE DR, CHARLOTTE, NC 28213-4925
(704) 891-8197
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
06/18/2021
Last updated
08/05/2021
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