Organization
THE 4C COMPANY OF NC, LLC
Active
Other names
4C Home Care, 4C Company of NC
Organization subpart
No
Provider details
NPI number
Authorized official
LISA M WIGFALL MSW (CEO)
(704) 394-8968
Entity
Organization
Contact information
Practice address
246 CHURCH ST NE, CONCORD, NC 28025-4737
(980) 721-1573
Mailing address
3552 BEATTIES FORD RD, CHARLOTTE, NC 28216-3742
(704) 394-8968
(704) 394-8967
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7806460
—
NC
Enumeration date
07/29/2011
Last updated
04/13/2021
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