Organization
CARE-OLINA CARES, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAFAYETTE BLACKMON (ADMINISTRATOR)
(704) 790-3302
Entity
Organization
Contact information
Practice address
5736 N TRYON ST, SUITE 226A, CHARLOTTE, NC 28213-6850
(704) 790-3302
(704) 790-3302
Mailing address
PO BOX 43734, CHARLOTTE, NC 28215-0028
(704) 790-3302
(704) 790-3302
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/20/2011
Last updated
07/11/2011
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