Organization
ROIALE PALMS HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORENZO GRAINGER (OWNER)
(980) 432-2376
Entity
Organization
Contact information
Practice address
1914 J N PEASE PL STE 179, CHARLOTTE, NC 28262-4504
(980) 432-2376
Mailing address
1914 J N PEASE PL STE 179, CHARLOTTE, NC 28262-4504
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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