Organization
SPIIRIT HOME CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY RENA SPENCER (OWNER/CEO)
(704) 965-0546
Entity
Organization
Contact information
Practice address
9635 SOUTHERN PINE BLVD STE 120, CHARLOTTE, NC 28273-5558
(704) 965-0546
(704) 749-3862
Mailing address
9635 SOUTHERN PINE BLVD STE 120, CHARLOTTE, NC 28273-5558
(704) 965-0546
(704) 749-3862
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC4473
NC
Other
Enumeration date
11/01/2011
Last updated
12/18/2012
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