Organization
THE 4C COMPANY OF NC, LLC
Active
Other names
4C Integrated Health
Organization subpart
No
Provider details
NPI number
Authorized official
LISA WIGFALL MSW (CEO)
(980) 721-1573
Entity
Organization
Contact information
Practice address
240 CHURCH ST NE, CONCORD, NC 28025-4737
(980) 781-1051
Mailing address
238 CHURCH ST NE, CONCORD, NC 28025-4737
(980) 781-1051
(980) 781-1050
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
311ZA0620X
Adult Care Home Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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