Organization
GROWING HANDS SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY WALLACE (CEO)
(980) 505-4686
Entity
Organization
Contact information
Practice address
4016 STONEYGREEN LN, CHARLOTTE, NC 28215-7083
(980) 505-4686
Mailing address
4016 STONEYGREEN LN, CHARLOTTE, NC 28215-7083
(980) 505-4686
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
02/17/2025
Last updated
02/20/2025
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