Organization
HEARTFELT HOMES OF THE CAROLINAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEDIAN TABORN (CFO)
(704) 965-3841
Entity
Organization
Contact information
Practice address
440 CHARLES ST, STATESVILLE, NC 28677
(704) 257-1086
Mailing address
7028 LAKESIDE DR, CHARLOTTE, NC 28215-4017
(704) 965-3841
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
06/12/2020
Last updated
11/04/2020
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