Organization
VERNAL OSBORNE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERNAL OSBORNE (OWNER)
(704) 578-6203
Entity
Organization
Contact information
Practice address
908 TOM HUNTER ROAD, CHARLOTTE, NC 28213
(704) 597-1088
(704) 597-1088
Mailing address
908 TOM HUNTER ROAD, CHARLOTTE, NC 28213
(704) 597-1088
(704) 597-1088
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7803232
—
NC
Enumeration date
05/24/2007
Last updated
12/26/2024
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