Organization
DIRECT IN HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY TUCKER (PRESIDENT)
(704) 456-8549
Entity
Organization
Contact information
Practice address
2331 STATESVILLE AVE, CHARLOTTE, NC 28206-2408
(704) 456-8549
Mailing address
2331 STATESVILLE AVE, CHARLOTTE, NC 28206
(704) 456-8549
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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