Organization
EMERALD HEART FAMILY CARE HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARNEICE KHALEA DAVIS RN (OWNER)
(704) 309-9244
Entity
Organization
Contact information
Practice address
4911 REEDMONT LN, CHARLOTTE, NC 28269-1631
(704) 309-9244
Mailing address
4911 REEDMONT LN, CHARLOTTE, NC 28269-1631
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
Other
Enumeration date
03/15/2023
Last updated
06/20/2024
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