Organization
SPECIAL K. ENRICHMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON A. KENDRICK (EXECUTIVE DIRECTOR)
(704) 395-9387
Entity
Organization
Contact information
Practice address
2838 A QUEEN CITY DRIVE, CHARLOTTE, NC 28208-2738
(704) 395-9387
(704) 395-9436
Mailing address
PO BOX 668882, CHARLOTTE, NC 28266
(704) 395-9387
(704) 395-9436
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
—
NC
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409000
—
NC
05
—
8300419
—
NC
05
—
8300898
—
NC
Enumeration date
01/04/2007
Last updated
12/16/2010
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