Organization
PURPOSE OF LIFE HOME HEALTH AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOANNA BURCH (EXECUTIVE DIRECTOR)
(980) 202-8423
Entity
Organization
Contact information
Practice address
4308 MAYPOLE CT, CHARLOTTE, NC 28205-4958
(980) 202-8423
Mailing address
4308 MAYPOLE CT, CHARLOTTE, NC 28205-4958
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/07/2016
Last updated
05/07/2016
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