Organization
INNOVATIVE RESIDENTIAL CARE, LLP
Active
Organization
INNOVATIVE RESIDENTIAL CARE, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELISSA GAIL LYNCH RN, BSN, MBA (PARTNER/ADMINISTRATOR)
(704) 473-5263
Entity
Organization
Contact information
Practice address
6602 CARDINAL GLEN CT, CHARLOTTE, NC 28269-6182
(704) 274-9612
Mailing address
9640 GILEAD GROVE RD, HUNTERSVILLE, NC 28078-2289
(704) 473-5263
(866) 741-2056
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
FCL-060-112
NC
Other
Enumeration date
01/06/2012
Last updated
01/06/2012
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