Organization
HERITAGE HOME CARE OF CHARLOTTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICO A WAGNER (DIRECTOR)
(704) 763-2168
Entity
Organization
Contact information
Practice address
10610 METROMONT PKWY STE 202, CHARLOTTE, NC 28269-7607
(704) 763-2168
(866) 401-7629
Mailing address
10610 METROMONT PKWY STE 202, CHARLOTTE, NC 28269-7607
(704) 763-2168
(866) 401-7629
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/27/2012
Last updated
08/28/2024
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