Organization · NPI-2
A Haven Of Care, LLC
In Home Supportive Care · Charlotte, NC
NPI number1255077525
StatusActive
Last updated in NPPESMay 10, 2022
Details
- NPI
- 1255077525
- Entity type
- Organization (NPI-2)
- Legal business name
- A Haven Of Care, LLC
- Organization subpart
- No
- Enumeration date
- May 10, 2022
- Certification date
- May 10, 2022
- Last updated
- May 10, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Practice location
6047 Tyvola Glen Cir Ste 244Charlotte, NC 28217-6436
Phone 704-649-2441
Mailing address
Po Box 242182Charlotte, NC 28224-2182
Phone 704-649-2441
Authorized official
Jasmine Frederick
Agency Operator
7046492441
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