Organization
PHADALITY HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALANA D. LORD (OWNER)
(704) 941-0371
Entity
Organization
Contact information
Practice address
5104 REAGAN DR STE 13, CHARLOTTE, NC 28206-1393
(980) 858-2336
Mailing address
5104 REAGAN DR STE 13, CHARLOTTE, NC 28206-1393
(980) 858-2336
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC3990
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205224540
—
NC
Enumeration date
10/23/2015
Last updated
10/31/2015
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