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Organization

THERACARE HEALTH AND WELLNESS, LLC

Active
Other names
TheraCare Health and Wellness, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
DEIRDRE BOOKER PIPPINS (ADMINISTRATOR)
(704) 671-8251
Entity
Organization

Contact information

Practice address
101 S TRYON ST STE 2700, CHARLOTTE, NC 28280-0005
(704) 671-8251
Mailing address
101 S TRYON ST STE 2700, CHARLOTTE, NC 28280-0005
(704) 671-8251

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
251E00000X
Home Health Agency
Primary
HC2834
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6601216
NC
05
CBT035
SC
05
EX0903
SC
Enumeration date
11/20/2006
Last updated
04/25/2024
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