Organization
IN HOME HEALTHCARE PROFESSIONALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL GAIUS REDIC RN (AGENCY DIRECTOR)
(704) 756-7251
Entity
Organization
Contact information
Practice address
1811 SARDIS RD N, 220, CHARLOTTE, NC 28270-1426
(704) 847-2898
Mailing address
1811 SARDIS RD N, 220, CHARLOTTE, NC 28270-1426
(704) 847-2898
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC4455
NC
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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