Organization
STONE BRIDE COMMUNITY PARTNERS, LLC
Active
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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