Organization
TDS CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNETTE LOVETTE MINGO CNA (CEO)
(704) 421-1684
Entity
Organization
Contact information
Practice address
2706 DAWSON DR APT 165, CHESTER, SC 29706-5225
(704) 421-1684
Mailing address
349 COPPERFIELD BLVD NE STE L 336, CONCORD, NC 28025-2432
(704) 421-1684
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
7749269
NC
251E00000X
Home Health Agency
7749269
NC
251S00000X
Community/Behavioral Health Agency
Primary
7749269
NC
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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