Organization
THE SHEPARD'S HOUSE, LLC
Active
Other names
GoodShepard In Home Health Care,LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARYLE BATTLE (AGENCY DIRECTOR)
(704) 494-8712
Entity
Organization
Contact information
Practice address
6612 E WT HARRIS BLVD, SUITE I, CHARLOTTE, NC 28215-5134
(704) 494-8712
(704) 494-8713
Mailing address
6612 E WT HARRIS BLVD, SUITE I, CHARLOTTE, NC 28215-5134
(704) 494-8712
(704) 494-8713
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
6601534
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418427
—
NC
05
—
6601543
—
NC
Enumeration date
10/20/2006
Last updated
07/05/2011
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