| Umar-angel | |
|
2430 Umar Ct Charlotte NC 28215-3259 | |
| (866) 272-7826 | |
| Not Available |
| Full Name | Umar-angel |
|---|---|
| Speciality | Custodial Care Facility - Adult Care Home |
| Location | 2430 Umar Ct, Charlotte, North Carolina |
| Authorized Official Name and Position | Lori Maness (CONTROLLER) |
| Authorized Official Contact | 7049861523 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Umar-angel 350 Pee Dee Ave Ste 101 Albemarle NC 28001-4945 Ph: (866) 272-7826 | Umar-angel 2430 Umar Ct Charlotte NC 28215-3259 Ph: (866) 272-7826 |
| NPI Number | 1043098924 |
|---|---|
| Provider Enumeration Date | 09/20/2023 |
| Last Update Date | 02/06/2024 |
| Certification Date | 02/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043098924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 311ZA0620X | Custodial Care Facility - Adult Care Home | (* (Not Available)) | Primary |
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