Organization
AUNTIE ANN HOME CARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KESEAN CORNELIUS (ADMINISTRATOR)
(704) 967-7835
Entity
Organization
Contact information
Practice address
403 KILLIAN AVE, MOUNT HOLLY, NC 28120-2314
(704) 967-7835
(704) 967-7835
Mailing address
403 KILLIAN AVE, MOUNT HOLLY, NC 28120-2314
(704) 967-7835
(704) 967-7835
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
03/09/2022
Last updated
03/11/2022
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