Individual
MS. BETTY ODESSIA DOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3010 MONROE RD STE 107A, CHARLOTTE, NC 28205-7533
(704) 963-6961
Mailing address
3010 MONROE RD STE 107A, CHARLOTTE, NC 28205-7533
(704) 963-6961
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/08/2021
Last updated
07/01/2021
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