Organization
MOORESVILLE HOSPITAL MANAGEMENT ASSOCIATES LLC
Active
Other names
Lake Norman Regional Medical Center Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE J HOLTSFORD (AUTHORIZED)
(615) 465-7466
Entity
Organization
Contact information
Practice address
170 MEDICAL PARK RD, SUITE 208, MOORESVILLE, NC 28117-8541
(704) 660-4480
(704) 662-3312
Mailing address
170 MEDICAL PARK RD, SUITE 208, MOORESVILLE, NC 28117-8541
(704) 660-4480
(704) 662-3312
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC1325NC
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00318
BC NC
NC
05
—
3407215
—
NC
05
—
3417215
—
NC
Enumeration date
06/05/2006
Last updated
01/29/2014
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