Organization
EXPERT CARE AT HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FANTA KABA GASSAMA (RN)
(484) 326-7294
Entity
Organization
Contact information
Practice address
5511 MONROE RD, CHARLOTTE, NC 28212-5503
(704) 208-4479
Mailing address
5511 MONROE RD, CHARLOTTE, NC 28212-5503
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/28/2023
Last updated
07/06/2023
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