Organization
HIS HOME CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENDA LEE HANSLEY (AGENCY DIRECTOR)
(980) 226-5041
Entity
Organization
Contact information
Practice address
862 SOUTHWEST DR, DAVIDSON, NC 28036-7910
(980) 229-5041
(980) 226-5158
Mailing address
2020 BEATTIES FORD RD STE E, CHARLOTTE, NC 28216-4573
(980) 229-8054
(980) 226-5158
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/29/2009
Last updated
06/29/2009
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