Individual
DEATRICE SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4221 LAKE RD, CHARLOTTE, NC 28269-4148
(470) 209-0726
Mailing address
4221 LAKE RD, CHARLOTTE, NC 28269-4148
(470) 209-0726
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/24/2025
Last updated
10/24/2025
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