Organization
SENIOR TOTAL LIFE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE KENZIG (EXECUTIVE DIRECTOR)
(704) 860-8985
Entity
Organization
Contact information
Practice address
103 TR HARRIS ROAD, SHELBY, NC 28150
(704) 874-0600
Mailing address
1875 REMOUNT RD, GASTONIA, NC 28054-7413
(704) 860-0600
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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