Organization
CARE WELL OF CHARLOTTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH LEE CALDWELL (CEO)
(704) 537-0052
Entity
Organization
Contact information
Practice address
6608 E WT HARRIS BLVD STE D, CHARLOTTE, NC 28215-5123
(704) 537-0052
(704) 537-0056
Mailing address
6608 E WT HARRIS BLVD STE D, CHARLOTTE, NC 28215-5123
(704) 537-0052
(704) 537-0056
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC3453
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6601579
MEDICAID PROVIDER NUMBER
NC
Enumeration date
12/27/2007
Last updated
12/27/2007
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