Organization
HIS VILLAGE RESCUE MISSION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEAH GIBSON (MANAGING DIRECTOR)
(520) 422-4016
Entity
Organization
Contact information
Practice address
5009 BEATTIES FORD RD # 107259, CHARLOTTE, NC 28216-2859
(704) 765-2116
Mailing address
190 W CONTINENTAL RD STE 216-66, GREEN VALLEY, AZ 85622-3500
(704) 765-2116
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/09/2018
Last updated
11/13/2024
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