Quest 1332- Afl

NPI 1750716908 - Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities - 320900000X

NPI Details
NPI 1750716908
Enumeration Date 09/06/2013
Last Updated 09/06/2013
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name KATELYNN KATELYNN
Position OWNER/DIRECTOR
Phone (704) 537-4730
Fax
Practice Location
1332 CRANDON DR
CHARLOTTE NC, 28216-2787, US
Phone (704) 537-4730
Fax
Business Location
2329 E WT HARRIS BLVD
CHARLOTTE NC, 28213-5186, US
Phone (704) 537-4730
Fax
Toxanomy
Taxonomy Code 320900000X
License State North Carolina
License Number MHL-0601037
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According to our database, Quest 1332- Afl NPI is 1750716908, taxonomy code is 320900000X and license number is MHL-0601037, license state is located at North Carolina. Quest 1332- Afl physically located at 1332 Crandon Dr, Charlotte NC, 28216-2787. NPI Number 1033115704 has the healthcare provider type.

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1750716908 NPI number is provided on an as is basis without warranty of any kind. 1750716908 is maintained by the National Plan & Provider Enumeration System. The contents of Quest 1332- Afl are for informational purposes only.