Organization
THIRD GENERATION COMMUNITY SERVICES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANASHA L GRAHAM (CEO)
(704) 649-4705
Entity
Organization
Contact information
Practice address
1001 E WT HARRIS BLVD STE P266, CHARLOTTE, NC 28213-4104
(704) 649-4705
Mailing address
1001 E WT HARRIS BLVD STE P266, CHARLOTTE, NC 28213-4104
(704) 649-4705
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NC
Other
Enumeration date
07/29/2010
Last updated
07/21/2022
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