Organization
HEALTHY SPIRIT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODDRICK BOYD SR. (OFFICE MANAGER)
(980) 309-3460
Entity
Organization
Contact information
Practice address
12000 PITTY PAT CT, CHARLOTTE, NC 28273-3823
(980) 309-3460
Mailing address
12000 PITTY PAT CT, CHARLOTTE, NC 28273-3823
(980) 309-3460
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/05/2021
Last updated
05/05/2021
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