Organization
AMAZING GRACE HOME HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LATRISHA R HUNTLEY (DIRECTOR)
(704) 405-3377
Entity
Organization
Contact information
Practice address
1801 N TRYON ST, STE B 329, CHARLOTTE, NC 28206-2793
(704) 405-3377
(704) 405-3379
Mailing address
1801 N TRYON ST, STE B 329, CHARLOTTE, NC 28206-2793
(704) 405-3377
(704) 405-3379
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6601608
—
NC
Enumeration date
01/25/2007
Last updated
07/25/2007
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