Organization
BY HIS STRIPES WELLNESS CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAYE MARSHALL (CEO)
(704) 493-8621
Entity
Organization
Contact information
Practice address
1321 CAPPS HILL MINE RD, CHARLOTTE, NC 28216-3011
(704) 493-8621
Mailing address
6217 PATRIC ALAN CT, CHARLOTTE, NC 28216-7644
(704) 493-8621
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
311ZA0620X
Adult Care Home Facility
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
12/28/2022
Last updated
12/28/2022
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