Organization
KINDRED HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENYETTA DUGAN (PRESIDENT)
1
Entity
Organization
Contact information
Practice address
2513 HAVEN ST, KANNAPOLIS, NC 28083-8808
(704) 963-9001
Mailing address
9611 BROOKDALE DR STE 100, CHARLOTTE, NC 28215-8776
1
1
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
11/21/2025
Last updated
11/21/2025
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