Organization · NPI-2

A New Beginning III, LLC

In Home Supportive Care · Charlotte, NC

NPI number1336408343
StatusActive
Last updated in NPPESMar 28, 2016

Details

NPI
1336408343
Entity type
Organization (NPI-2)
Legal business name
A New Beginning III, LLC
Organization subpart
No
Enumeration date
May 10, 2012
Last updated
Mar 28, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care–NCYes
251E00000X Home Health251ENC

Practice location

11313 Coreopsis Rd
Charlotte, NC 28213-9260

Phone 980-200-1933

Mailing address

11313 Coreopsis Rd
Charlotte, NC 28213-9260

Phone 980-200-1933

Authorized official

Yusuf Muhammad
President
9802001933

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