Organization
NEW LIFE IN HOME AND THERAPEUTIC CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RONISHA SIMMONS (PRESIDENT)
(704) 493-6136
Entity
Organization
Contact information
Practice address
13421 ARBOR TRACE DR APT 204, CHARLOTTE, NC 28273-7074
(704) 493-6136
Mailing address
13421 ARBOR TRACE DR APT 204, CHARLOTTE, NC 28273-7074
(704) 493-6136
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
01/12/2016
Last updated
11/16/2016
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