Organization
EXTENDED CARE OF CHARLOTTE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMANUEL CHUKWUMA ANYANWU REGISTERED NURSE (ADMINISTRATOR)
(980) 800-5720
Entity
Organization
Contact information
Practice address
4917 ALBEMARLE RD STE 207, CHARLOTTE, NC 28205-6686
(980) 800-5720
Mailing address
1120 JENI LN APT 3312, CHARLOTTE, NC 28262-2148
(980) 800-5720
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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