Organization
MYHOME ,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAGET AYANA TEGEGNE TECHNOLOGIST (MR)
(704) 963-5277
Entity
Organization
Contact information
Practice address
6418 REDDMAN RD, CHARLOTTE, NC 28212-4541
(980) 209-0704
Mailing address
6418 REDDMAN RD, CHARLOTTE, NC 28212-4541
(980) 209-0704
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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