Organization
C&S HOME CARE AGENCY, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHEVON STRICKLAND (ADMINISTRATOR)
(704) 493-3096
Entity
Organization
Contact information
Practice address
6504 PEACEHAVEN DR, CHARLOTTE, NC 28214-2300
(704) 493-3096
(704) 626-3457
Mailing address
6504 PEACEHAVEN DR, CHARLOTTE, NC 28214-2300
(704) 493-3096
(704) 626-3457
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
—
—
251E00000X
Home Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629662168
—
NC
Enumeration date
04/29/2021
Last updated
08/14/2021
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