Organization
MOORESVILLE HOME CARE SERVICES, LLC
Active
Other names
Lake Norman Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK TODD LYLES (SR. VP OF ADMINISTRATION)
(502) 891-1044
Entity
Organization
Contact information
Practice address
170 MEDICAL PARK RD STE 208, MOORESVILLE, NC 28117-8541
(704) 660-4480
(704) 662-3312
Mailing address
9510 ORMSBY STATION RD STE 300, LOUISVILLE, KY 40223-5016
(502) 891-1000
(502) 891-1427
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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