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Organization

CANNON HOME HEALTHCARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GREG J KRYPEL MSED (VP OF OPERATIONS)
(704) 491-9702
Entity
Organization

Contact information

Practice address
7108 HOLLYHOUSE DR, CHARLOTTE, NC 28215-3734
(704) 491-9702
(704) 454-7464
Mailing address
7108 HOLLYHOUSE DR, CHARLOTTE, NC 28215-3734
(704) 491-9702
(704) 454-7464

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
NC
251G00000X
Community Based Hospice Care Agency
NC
251J00000X
Nursing Care Agency
NC
253Z00000X
In Home Supportive Care Agency
NC

Other

Enumeration date
04/19/2012
Last updated
04/19/2012
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