Organization
CRDEN ROSE HOLDING COMPANY
Active
Other names
Everyday Life Homecare Services
Organization subpart
No
Provider details
NPI number
Authorized official
LA TOYA DAWSON (BILLING DIRECTOR)
(352) 231-7551
Entity
Organization
Contact information
Practice address
3118 ROBERTA RD, CONCORD, NC 28027-9080
(704) 965-1054
(352) 554-5073
Mailing address
3118 ROBERTA RD, CONCORD, NC 28027-9080
(704) 965-1054
(352) 554-5073
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
12/26/2020
Last updated
01/21/2021
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