Individual
STEPHANIE LYNN SMITH-MASSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4316 W ARGYLE DR, CHARLOTTE, NC 28213-6169
(704) 977-8846
Mailing address
1924 WINGET ST, GASTONIA, NC 28052-7691
(704) 977-8846
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
HC5803
NC
253Z00000X
In Home Supportive Care Agency
Primary
HC5803
NC
372600000X
Adult Companion
HC5803
NC
374U00000X
Home Health Aide
HC5803
NC
376J00000X
Homemaker
HC5803
NC
376K00000X
Nurse's Aide
HC5803
NC
385H00000X
Respite Care
HC5803
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1998967
—
NC
Enumeration date
12/27/2020
Last updated
01/23/2021
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