Organization
AMANA SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TROY Z. PELSHAK (DIRECTOR)
(704) 494-8711
Entity
Organization
Contact information
Practice address
6411 ROCKLAKE DR, CHARLOTTE, NC 28214-2868
(704) 494-8711
(704) 494-8712
Mailing address
PO BOX 681016, CHARLOTTE, NC 28216-0017
(704) 494-8711
(704) 494-8712
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
MHL-060-819
NC
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL-060-928
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603324
—
NC
05
—
6603731
—
NC
Enumeration date
08/12/2006
Last updated
08/22/2020
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