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NPI Code Detail

MEDICARE: ELDERCARE BUDDY

MEDICARE: ELDERCARE BUDDY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency
2251E00000XHome Health Agency
3253Z00000XIn Home Supportive Care Agency
4251K00000XPublic Health or Welfare Agency
5251B00000XCase Management Agency

General Provider Information

NPI Number : 1043583503
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELDERCARE BUDDY
Provider Business Mailing Address
First Line : 10130 MALLARD CREEK RD STE 300
Second Line :
City : CHARLOTTE
State : NC
Zip : 28262-6001
Country : US
Telephone Number : 704-808-0195
Fax Number : 704-780-4270
Provider Business Practice Location Address
First Line : 10130 MALLARD CREEK RD STE 300
Second Line :
City : CHARLOTTE
State : NC
Zip : 28262-6001
Country : US
Telephone Number : 704-808-0195
Fax Number : 704-780-4270
Authorized Official
Title or Position : CHIEF STRATEGY OFFICER
Name : PATRICIA A FLETCHER
Credential : M.S.; M.A.
Telephone Number : 704-808-0195
Provider Enumeration Date : 02/14/2012
Last Update Date : 05/05/2014

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Directions to “ELDERCARE BUDDY ” Practice Location

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