Organization
OUTFLOW ADULT DAY AND HEALTH CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNIE LOUISE SALLEY (PROGRAM DIRECTOR)
(704) 968-7183
Entity
Organization
Contact information
Practice address
2107 LONG RIDGE LN, CHARLOTTE, NC 28214-9428
(704) 968-7183
Mailing address
3501 TUCKASEEGEE RD, CHARLOTTE, NC 28208-3051
(704) 394-0856
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/17/2009
Last updated
03/17/2009
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