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Organization

PRIORITY HOME HEALTH CARE AGENCY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS LAVARIS LAKEISHA NELSON (OWNER/DIRECTOR)
(704) 299-6825
Entity
Organization

Contact information

Practice address
5878 PRESCOTT CT, CHARLOTTE, NC 28269-1333
(704) 299-6825
Mailing address
5878 PRESCOTT CT, CHARLOTTE, NC 28269-1333

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
169239
NC

Other

Enumeration date
04/23/2009
Last updated
04/23/2009
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