Organization
COMMUNITY HOMECARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RREGINA DEPASS (EXECUTIVE DIRECTOR)
(704) 323-9266
Entity
Organization
Contact information
Practice address
543 COX RD, SUITE B-2, GASTONIA, NC 28054-0607
(704) 323-9266
(704) 563-8477
Mailing address
5410 FREDERICK ST., INDIANTRAIL, NC 28079
(704) 323-9266
(704) 563-8477
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC 3537
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418066
—
NC
Enumeration date
10/10/2007
Last updated
10/10/2007
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