Organization
CAROLINAS ALFA RAM, INC.
Active
Other names
CAR Home Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WANDADARIL GALE JACKSON AAS (PRESIDENT)
(704) 864-7727
Entity
Organization
Contact information
Practice address
175 W MAIN AVE, STE. A, GASTONIA, NC 28052-4135
(704) 864-7727
Mailing address
175 W MAIN AVE, STE. A, GASTONIA, NC 28052-4135
(704) 864-7727
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC3649
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HC3649
NC DEPT. OF HEALTH AND HU
NC
Enumeration date
01/08/2007
Last updated
08/22/2020
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