Organization
GOOD SHEPARD IN HOME HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARYLE BATTLE (CEO/FOUNDER)
(704) 494-8712
Entity
Organization
Contact information
Practice address
8424 OLD STATESVILLE RD, SUITE 120, CHARLOTTE, NC 28269-2128
(704) 494-8712
(704) 494-8713
Mailing address
8424 OLD STATESVILLE RD., SUITE 120, CHARLOTTE, NC 28269-2129
(704) 494-8712
(704) 494-8713
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC3426
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6601534
—
NC
Enumeration date
05/20/2010
Last updated
05/20/2010
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