Organization
GRL CARE PROVIDERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON COLLINS LASCO (OWNER)
(704) 919-9497
Entity
Organization
Contact information
Practice address
5130 COMMUNITY CIR APT 102, CHARLOTTE, NC 28215-1591
(704) 919-9497
Mailing address
5130 COMMUNITY CIR APT 102, CHARLOTTE, NC 28215-1591
(704) 919-9497
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/16/2009
Last updated
07/16/2009
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