Organization
SPECIAL K ENRICHMENT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HERBERT KENDRICK III QP, MBA (DIRECTOR)
(704) 395-9387
Entity
Organization
Contact information
Practice address
3828 COBBLERIDGE DRIVE, CHARLOTTE, NC 28215
(704) 395-3987
(704) 395-9436
Mailing address
PO BOX 668882, CHARLOTTE, NC 28266-8882
(704) 395-9387
(704) 395-9436
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409000
—
NC
Enumeration date
04/10/2014
Last updated
04/10/2014
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