Care-olina Cares, Incorporated | |
5736 N Tryon St Suite 226a Charlotte NC 28213-6850 | |
(704) 790-3302 | |
(704) 790-3302 |
Full Name | Care-olina Cares, Incorporated |
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Speciality | Community/behavioral Health |
Location | 5736 N Tryon St, Charlotte, North Carolina |
Authorized Official Name and Position | Lafayette Blackmon (ADMINISTRATOR) |
Authorized Official Contact | 7047903302 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Care-olina Cares, Incorporated Po Box 43734 Charlotte NC 28215-0028 Ph: (704) 790-3302 | Care-olina Cares, Incorporated 5736 N Tryon St Suite 226a Charlotte NC 28213-6850 Ph: (704) 790-3302 |
NPI Number | 1083900948 |
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Provider Enumeration Date | 06/20/2011 |
Last Update Date | 07/11/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083900948 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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