Organization
CONVENANT HOMECARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PRECIOUSE ADULA WILSON RN,BSN,MBA/HCM (DIRECTOR/OWNER)
(704) 576-6553
Entity
Organization
Contact information
Practice address
4221 CHATTERLEIGH DR, MONROE, NC 28110-8102
(704) 756-6553
Mailing address
4221 CHATTERLEIGH DR, MONROE, NC 28110-8102
(704) 756-6553
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
167822
NC
Other
Enumeration date
02/20/2009
Last updated
02/20/2009
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