Organization
PATIENT EMPOWERMENT SERVICES AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVIS MARIE NASH HOME CARE PROVIDER (HOME CARE PROVIDER)
(980) 300-0251
Entity
Organization
Contact information
Practice address
3117 WHITING AVE, CHARLOTTE, NC 28205-1648
(980) 300-0251
Mailing address
3117 WHITING AVE, CHARLOTTE, NC 28205-1648
(980) 300-0251
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
347C00000X
Private Vehicle
—
—
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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