Organization
NEW INFINITI HOME CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL N CAGLER (OWNER)
(704) 615-5252
Entity
Organization
Contact information
Practice address
6604 ROBERTA RD, HARRISBURG, NC 28075-9532
(704) 644-2550
(704) 644-2553
Mailing address
PO BOX 43148, CHARLOTTE, NC 28215-0019
(704) 644-2550
(704) 644-2553
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3419056
—
NC
05
—
6602222
—
NC
Enumeration date
01/19/2011
Last updated
05/16/2013
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