Organization
ZONE FREE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELODY IRENE TAYLOR (OWNER)
(704) 237-7119
Entity
Organization
Contact information
Practice address
3707 A HWY 74, WINGATE, NC 28174
(704) 237-7119
Mailing address
PO BOX 1114, WINGATE, NC 28174-1114
(704) 237-7119
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NC
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
12/24/2008
Last updated
12/24/2008
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