Organization
PERSONAL HOME CARE OF NORTH CAROLINA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IVAN BELOV (DIRECTOR)
(704) 522-6144
Entity
Organization
Contact information
Practice address
1515 MOCKINGBIRD LN STE 520, CHARLOTTE, NC 28209-3297
(704) 522-6144
(704) 522-6145
Mailing address
1515 MOCKINGBIRD LN STE 520, CHARLOTTE, NC 28209-3297
(704) 522-6144
(704) 522-6145
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
HC2481
NC
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/30/2007
Last updated
11/20/2019
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