Organization
HUPERNIKAO LLC
Active
Other names
AAA Providence Home Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
CHUN WOO LEE (MEMBER)
(704) 334-5082
Entity
Organization
Contact information
Practice address
9709 NORTHEAST PKWY STE 200, MATTHEWS, NC 28105-9706
(704) 334-5082
Mailing address
9709 NORTHEAST PKWY STE 200, MATTHEWS, NC 28105-9706
(704) 334-5082
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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