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Organization

ROBINS HEART SUPPORT SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TINA HARRIS (OWNER)
(314) 680-4858
Entity
Organization

Contact information

Practice address
3011 PARKER GREEN TRL, CHARLOTTE, NC 28269-1489
(314) 680-4858
Mailing address
3011 PARKER GREEN TRL, CHARLOTTE, NC 28269-1489
(314) 680-4858

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
251B00000X
Case Management Agency
251C00000X
Developmentally Disabled Services Day Training Agency
251S00000X
Community/Behavioral Health Agency
253Z00000X
In Home Supportive Care Agency
385H00000X
Respite Care
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
385HR2065X
Child Physical Disabilities Respite Care

Other

Enumeration date
03/25/2025
Last updated
05/16/2025
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