| Inreach | |
|
1631 Forsythia Cir Charlotte NC 28208-1835 | |
| (704) 399-4826 | |
| (704) 536-0074 |
| Full Name | Inreach |
|---|---|
| Speciality | Custodial Care Facility - Adult Care Home |
| Location | 1631 Forsythia Cir, Charlotte, North Carolina |
| Authorized Official Name and Position | Lori Gougeon (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7045366661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inreach 4530 Park Rd Ste 300 Charlotte NC 28209-3790 Ph: (704) 536-6661 | Inreach 1631 Forsythia Cir Charlotte NC 28208-1835 Ph: (704) 399-4826 |
| NPI Number | 1053430918 |
|---|---|
| Provider Enumeration Date | 03/29/2007 |
| Last Update Date | 03/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053430918 | NPI | - | NPPES |
| 7802253 | Medicaid | NC | |
| MHL-060-159 | Other | NC | NC DEPARTMENT OF HEALTH AND HUMAN SERVICES |
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