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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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