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Organization

SHELBY'S GUARDIAN ANGELS II OF NC LLC

Active
Parent organization
SHELBY'S GUARDIAN ANGELS II OF NC LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
SHELBY'S GUARDIAN ANGELS II OF NC LLC
Authorized official
MS. HELEN MARIE MITCHELL SHELBY (CO CEO)
(330) 327-6332
Entity
Organization

Contact information

Practice address
2004 DEMBRIGH LN, CHARLOTTE, NC 28262-2554
(330) 430-9977
(330) 452-4300
Mailing address
8511 DAVIS LAKE PKWY STE C6-186, CHARLOTTE, NC 28269-0536
(330) 430-9977
(330) 452-4300

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
251E00000X
Home Health Agency
253Z00000X
In Home Supportive Care Agency
Primary
343900000X
Non-emergency Medical Transport (VAN)

Other

Enumeration date
03/09/2012
Last updated
03/12/2012
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