St. Mary's Home Care Services, Inc. | |
1977 J N Pease Pl Suite 202 Charlotte NC 28262-4508 | |
(704) 335-1900 | |
(704) 335-1888 |
Full Name | St. Mary's Home Care Services, Inc. |
---|---|
Speciality | Counselor - Mental Health |
Location | 1977 J N Pease Pl, Charlotte, North Carolina |
Authorized Official Name and Position | Elton Lee Joseph (OWNER) |
Authorized Official Contact | 2024412486 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
St. Mary's Home Care Services, Inc. 1977 J N Pease Pl Suite 202 Charlotte NC 28262-4508 Ph: (704) 335-1900 | St. Mary's Home Care Services, Inc. 1977 J N Pease Pl Suite 202 Charlotte NC 28262-4508 Ph: (704) 335-1900 |
NPI Number | 1023356938 |
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Provider Enumeration Date | 01/28/2013 |
Last Update Date | 01/28/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023356938 | NPI | - | NPPES |
3409341 | Medicaid | NC | |
6601123 | Medicaid | NC | |
6600781 | Medicaid | NC | |
6601244 | Medicaid | NC | |
6601144 | Medicaid | NC | |
6601186 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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