Organization
AUDREY'S CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANARA MINTZ (OWNER)
(704) 912-9561
Entity
Organization
Contact information
Practice address
5004 SAM RHYNE CT, DALLAS, NC 28034-6400
(704) 912-9561
Mailing address
5004 SAM RHYNE CT, DALLAS, NC 28034-6400
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
332U00000X
Home Delivered Meals
—
—
343800000X
Secured Medical Transport (VAN)
—
—
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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