Organization
TATE HEALTHCARE SERIVES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL JOHNSON (PRESIDENT)
(919) 407-9110
Entity
Organization
Contact information
Practice address
9711 DAVID TAYLOR DR APT 139, CHARLOTTE, NC 28262-2370
(919) 407-9110
Mailing address
1129 DOVE RIDGE RD, BAHAMA, NC 27503-9739
(919) 407-9110
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/21/2020
Last updated
05/21/2020
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