Organization
SIDE BY SIDE SENIOR SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA D JOHNSON (OWNER)
(704) 548-7945
Entity
Organization
Contact information
Practice address
9635 SOUTHERN PINE BLVD STE 106, CHARLOTTE, NC 28273-5546
(704) 548-7945
Mailing address
9635 SOUTHERN PINE BLVD STE 106, CHARLOTTE, NC 28273-5546
(704) 548-7945
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/29/2021
Last updated
06/16/2021
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