Organization · NPI-2
2nd Chanze INC
Home Health · Charlotte, NC
NPI number1366637290
StatusActive
Last updated in NPPESSep 13, 2007
Details
- NPI
- 1366637290
- Entity type
- Organization (NPI-2)
- Legal business name
- 2nd Chanze INC
- Organization subpart
- No
- Enumeration date
- Sep 13, 2007
- Last updated
- Sep 13, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Practice location
1101 Tyvola RdSuite 206
Charlotte, NC 28217-3515
Phone 704-493-4896
Mailing address
1101 Tyvola RdSuite 206
Charlotte, NC 28217-3515
Phone 704-493-4896
Authorized official
Detrice Chante' Portee
Executive Director
7044934896
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