Organization
RESTORATION CONCEPTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BANZEN T WARREN (EXECUTIVE DIRECTOR)
(704) 481-8379
Entity
Organization
Contact information
Practice address
809 N LAFAYETTE ST, SUITE A, SHELBY, NC 28150-3978
(704) 481-8379
(704) 481-8571
Mailing address
809 N LAFAYETTE ST, SUITE A, SHELBY, NC 28150-3978
(704) 481-8379
(704) 481-8571
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8702043
—
NC
Enumeration date
08/24/2010
Last updated
08/24/2010
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