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Organization

INNOVATIVE RESIDENTIAL CARE LLP

Active
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Organization

INNOVATIVE RESIDENTIAL CARE LLP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MELISSA GAIL LYNCH (PARTNER/ADMINISTRATOR)
(704) 473-5263
Entity
Organization

Contact information

Practice address
9305 KESTRAL RIDGE DR, CHARLOTTE, NC 28269-6170
(704) 875-2230
(866) 741-2056
Mailing address
9640 GILEAD GROVE RD, HUNTERSVILLE, NC 28078-2289
(704) 473-5263

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
FCL-060-119
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
FCL-060-119
NC
Enumeration date
12/21/2011
Last updated
12/21/2011
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