Organization
QUAIL & MANNA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EWANDRA ERVIN WHITLEY (CEO)
(704) 332-2588
Entity
Organization
Contact information
Practice address
2019 THRIFT RD, SUITE B, CHARLOTTE, NC 28208-4450
(704) 332-2588
(704) 332-2587
Mailing address
2019 THRIFT RD, SUITE B, CHARLOTTE, NC 28208-4450
(704) 332-2588
(704) 332-2587
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
100161608
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418942
—
NC
Enumeration date
12/28/2010
Last updated
04/19/2011
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