Organization
PINK ELEPHANT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAQUANDRA JEFFERIES (OWNER)
(980) 420-0626
Entity
Organization
Contact information
Practice address
7918 BRISTLE LN, CHARLOTTE, NC 28214-8409
(704) 635-4671
Mailing address
7918 BRISTLE LN, CHARLOTTE, NC 28214-8409
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253J00000X
Foster Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
332U00000X
Home Delivered Meals
—
—
341600000X
Ambulance
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
03/27/2026
Last updated
04/01/2026
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