Organization · NPI-2

Connections Support Network, LLC

Homemaker · Charlotte, NC

NPI number1356926018
StatusActive
Last updated in NPPESMar 15, 2021

Details

NPI
1356926018
Entity type
Organization (NPI-2)
Legal business name
Connections Support Network, LLC
Organization subpart
No
Enumeration date
Mar 15, 2021
Certification date
Mar 15, 2021
Last updated
Mar 15, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
376J00000X Homemaker––Yes

Practice location

5703 Cardington Ct
Charlotte, NC 28216-7627

Phone 513-410-6621

Mailing address

5703 Cardington Ct
Charlotte, NC 28216-7627

Phone 513-410-6621

Authorized official

Derrick Shelton
Vice President
5137397813

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