Organization
BURRIS FAMILY PAYING IT FORWARD HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN EVETTE BURRIS OWNER (OWNER/CNA)
(980) 483-8314
Entity
Organization
Contact information
Practice address
413 N PIEDMONT AVE, KINGS MOUNTAIN, NC 28086-2440
(704) 750-7080
Mailing address
PO BOX 1754, KINGS MOUNTAIN, NC 28086-1754
(980) 483-8314
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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