Organization
KINDRED HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REGINA BARBEE ESTERS (AUTHORIZED OFFICIAL)
(704) 520-9175
Entity
Organization
Contact information
Practice address
1914 J N PEASE PL, CHARLOTTE, NC 28262-4504
(704) 520-9175
Mailing address
1914 J N PEASE PL, CHARLOTTE, NC 28262-4504
(704) 520-9175
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/02/2023
Last updated
01/12/2024
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