| Supportive Homes Inc | |
|
3702 Larkhaven Village Charlotte NC 28215 | |
| (929) 255-7761 | |
| Not Available |
| Full Name | Supportive Homes Inc |
|---|---|
| Speciality | Counselor |
| Location | 3702 Larkhaven Village, Charlotte, North Carolina |
| Authorized Official Name and Position | Lateef Cook (PRESIDENT/CEO) |
| Authorized Official Contact | 9292557761 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Supportive Homes Inc 3702 Larkhaven Village Charlotte NC 28215 Ph: () - | Supportive Homes Inc 3702 Larkhaven Village Charlotte NC 28215 Ph: (929) 255-7761 |
| NPI Number | 1023780533 |
|---|---|
| Provider Enumeration Date | 10/03/2021 |
| Last Update Date | 10/03/2021 |
| Certification Date | 10/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023780533 | NPI | - | NPPES |
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