Organization
COMPLETE HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE RENEE HARRIS (CEO)
(980) 613-2382
Entity
Organization
Contact information
Practice address
4107 CHIP SPARROW LN, CHARLOTTE, NC 28269-0262
(980) 613-2382
Mailing address
4107 CHIP SPARROW LN, CHARLOTTE, NC 28269-0262
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251T00000X
PACE Provider Organization
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
332U00000X
Home Delivered Meals
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
11/27/2024
Last updated
11/27/2024
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