Tashia Thomas Home

NPI 1295160448 - Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities - 320900000X

NPI Details
NPI 1295160448
Enumeration Date 09/06/2013
Last Updated 09/06/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name KATELYNN KATELYNN
Position OWNER/DIRECTOR
Phone (704) 537-4730
Fax
Practice Location
8113 NIKKI COLE DR
CHARLOTTE NC, 28215-2875, 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, Tashia Thomas Home NPI is 1295160448, taxonomy code is 320900000X and license number is MHL-0601037, license state is located at North Carolina. Tashia Thomas Home physically located at 8113 Nikki Cole Dr, Charlotte NC, 28215-2875. NPI Number 1033115704 has the healthcare provider type.

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1295160448 NPI number is provided on an as is basis without warranty of any kind. 1295160448 is maintained by the National Plan & Provider Enumeration System. The contents of Tashia Thomas Home are for informational purposes only.