Organization
THE CYPRESS OF CHARLOTTE CLUB, INC.
Active
Other names
THE CYPRESS OF CHARLOTTE HOME CARE AGENCY
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN SELLERS (ADMINISTRATOR)
(704) 714-5500
Entity
Organization
Contact information
Practice address
3442 CYPRESS CLUB DR, CHARLOTTE, NC 28210-2467
(704) 714-5500
(704) 714-5501
Mailing address
3442 CYPRESS CLUB DR, CHARLOTTE, NC 28210-2467
(704) 714-5500
(704) 714-5501
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC1907
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HC1907
STATE LICENSE
NC
Enumeration date
06/22/2007
Last updated
08/22/2020
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