Organization
LANDRUM, INC.
Active
Other names
Visiting Angels of Mooresville
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACY RAY LANDRUM (DIRECTOR)
(704) 663-1065
Entity
Organization
Contact information
Practice address
542 WILLIAMSON RD, SUITE 5, MOORESVILLE, NC 28117-8193
(704) 663-1065
(704) 660-1851
Mailing address
542 WILLIAMSON RD, SUITE 5, MOORESVILLE, NC 28117-8193
(704) 663-1065
(704) 660-1851
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC3210
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418114
—
NC
05
—
6601413
—
NC
Enumeration date
02/13/2007
Last updated
08/22/2020
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