Organization
STONE BRIDE COMMUNITY PARTNERS, LLC
Active
Other names
StoneBridge Home Care Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SYREETA WATKINS REAVES MSN, RN, NPD-BC (CHIEF EXECUTIVE OFFICER)
(910) 352-2023
Entity
Organization
Contact information
Practice address
1016 BLUE SKY DR NW, CONCORD, NC 28027-7970
(910) 352-2023
Mailing address
9625 DAVID TAYLOR DR STE 109, CHARLOTTE, NC 28262-2362
(704) 659-3753
(704) 582-6027
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831703040
—
NC
Enumeration date
09/04/2020
Last updated
03/15/2022
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