Organization
HERITAGE HOUSE HUMAN SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM E. ELLIS I BS COMM HEALTH (EXECUTIVE DIRECTOR)
(917) 501-8029
Entity
Organization
Contact information
Practice address
3557 N SHARON AMITY RD, SUITE # 100-103, CHARLOTTE, NC 28205-8849
(917) 501-8029
Mailing address
3557 N SHARON AMITY RD STE 100-103, CHARLOTTE, NC 28205-8849
(917) 501-8029
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251X00000X
Supports Brokerage Agency
—
—
Other
Enumeration date
03/01/2008
Last updated
09/24/2009
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