Organization
INDIVIDUALIZED CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DJARRIS Y HARRIS (CFO)
(704) 369-0080
Entity
Organization
Contact information
Practice address
543 COX RD, SUITE E - 4, GASTONIA, NC 28054-0607
(704) 369-0080
(704) 369-0084
Mailing address
543 COX RD, SUITE E - 4, GASTONIA, NC 28054-0607
(704) 369-0080
(704) 369-0084
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
251B00000X
NC
Other
Enumeration date
06/23/2008
Last updated
06/30/2008
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