Crden Rose Holding Company
In Home Supportive Care in Concord, NC. Organization (NPI-2).
NPI number1790372605
StatusActive
Last updated in NPPESJan 21, 2021
Details
- NPI
- 1790372605
- Entity type
- Organization (NPI-2)
- Legal business name
- Crden Rose Holding Company
- Organization subpart
- No
- Enumeration date
- Dec 26, 2020
- Certification date
- Jan 21, 2021
- Last updated
- Jan 21, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
| 291U00000X | Clinical Medical Laboratory | – | – |
Other names
- Everyday Life Homecare Services (Doing Business As)
Practice location
3118 Roberta RdConcord, NC 28027-9080
Phone 704-965-1054 · Fax 352-554-5073
Mailing address
3118 Roberta RdConcord, NC 28027-9080
Phone 704-965-1054 · Fax 352-554-5073
Authorized official
La Toya Dawson
Billing Director
3522317551
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