Organization
THE KID'S WORKSHOP
Active
Other names
Jenkins Home
Organization subpart
No
Provider details
NPI number
Authorized official
PAULETTE CANADAY (DIRECTOR)
(704) 399-4045
Entity
Organization
Contact information
Practice address
5901 BEATTIES FORD RD, CHARLOTTE, NC 28216-2203
(704) 399-4045
(704) 399-4089
Mailing address
11921 BAILEY RD, CORNELIUS, NC 28031-9125
(704) 399-4045
(704) 399-4089
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
NC
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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