Organization
PERSONAL CARE SERVICES OF THE CAROLINAS 1, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATRISHA HUNTLEY ANDERSON (DIRECTOR)
(704) 890-9587
Entity
Organization
Contact information
Practice address
4822 ALBEMARLE RD STE 150, CHARLOTTE, NC 28205-6668
(704) 890-9587
Mailing address
2821 BANCROFT ST, CHARLOTTE, NC 28206-3527
(704) 890-9587
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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