Organization
CHARLOTTE HOME HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GODY O IVRI (PRESIDENT)
(704) 233-7887
Entity
Organization
Contact information
Practice address
3637 E INDEPENDENCE BLVD, CHARLOTTE, NC 28205-7262
(704) 233-7887
(704) 568-7850
Mailing address
3637 E INDEPENDENCE BLVD, CHARLOTTE, NC 28205-7262
(704) 233-7887
(704) 568-7850
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HC3047
DEPT OF HEALTH & HUMAN SE
NC
Enumeration date
06/20/2007
Last updated
08/22/2020
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