Individual
MRS. FUNKE YENRIN AMANAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3555 N SHARON AMITY RD STE 201, CHARLOTTE, NC 28205-8993
(980) 498-2031
Mailing address
3555 N SHARON AMITY RD, CHARLOTTE, NC 28205-8935
(980) 498-2031
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC5632
NC
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HC5632
—
NC
Enumeration date
08/07/2020
Last updated
08/07/2020
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