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Organization

CRT HOME LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TERESA KELLY BROWN LPN (OWNER)
(704) 300-0536
Entity
Organization

Contact information

Practice address
1026 CUMBERLAND DR, SHELBY, NC 28150-3610
(704) 300-0536
Mailing address
1026 CUMBERLAND DR, SHELBY, NC 28150-3610
(704) 300-0536

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary

Other

Enumeration date
12/03/2019
Last updated
12/03/2019
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