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Organization

BKD PERSONAL ASSISTANCE SERVICES LLC

Active
Other names
Personalized Living at Wilora Lake Lodge
Organization subpart
No

Provider details

NPI number
Authorized official
MARK OHLENDORF (PRESIDENT)
(414) 918-5000
Entity
Organization

Contact information

Practice address
6053 WILORA LAKE RD, CHARLOTTE, NC 28212-2833
(704) 537-8848
Mailing address
111 WESTWOOD PL, SUITE 400, BRENTWOOD, TN 37027-5021

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
11/15/2013
Last updated
11/15/2013
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