Organization
REGAL HOME CARE OF CHARLOTTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA WILKINSON LMFT (DIRECTOR)
(980) 425-3345
Entity
Organization
Contact information
Practice address
227 W 4TH ST # 318, CHARLOTTE, NC 28202-1545
(980) 425-3345
Mailing address
525 S CHURCH ST APT 1905, CHARLOTTE, NC 28202-3321
(980) 425-3345
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HC6581
NC HOME CARE LICENSE
NC
Enumeration date
07/27/2022
Last updated
07/27/2022
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