Organization
METROLINA HOME HEALTH CARE LLC
Active
Other names
Home Helpers
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIFFANY CANNON MA, LPC (PRESIDENT)
(704) 707-0575
Entity
Organization
Contact information
Practice address
8410 PIT STOP COURT, SUITE 125, CONCORD, NC 28027-8258
(704) 707-0575
(704) 353-7099
Mailing address
8410 PIT STOP COURT, SUITE 125, CONCORD, NC 28027-8258
(704) 707-0575
(704) 353-7099
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC3933
NC
251J00000X
Nursing Care Agency
HC3933
—
253Z00000X
In Home Supportive Care Agency
HC3933
—
Other
Enumeration date
11/30/2009
Last updated
11/30/2009
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