Organization
IGNITE UNION COUNTY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER JENNIFER MS, OTR/L (PART OWNER)
(917) 445-0988
Entity
Organization
Contact information
Practice address
3512 S PROVIDENCE RD STE B, WAXHAW, NC 28173-8350
(704) 256-1401
Mailing address
2036 HAMIL RIDGE DR, WAXHAW, NC 28173-6023
(917) 445-0988
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/17/2026
Last updated
06/17/2026
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