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NPI Code Detail

MEDICARE: LOCKE HEALTH, LLC

MEDICARE: LOCKE HEALTH, LLC
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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1144836149
Entity Type Code : Organization
Provider Name (Legal Business Name) : LOCKE HEALTH, LLC
Provider Business Mailing Address
First Line : 17105 KENTON DR STE 206C
Second Line :
City : CORNELIUS
State : NC
Zip : 28031-5654
Country : US
Telephone Number : 980-444-3023
Fax Number :
Provider Business Practice Location Address
First Line : 17105 KENTON DR STE 206C
Second Line :
City : CORNELIUS
State : NC
Zip : 28031-5654
Country : US
Telephone Number : 980-444-3023
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MRS. SUSAN M LOCKE
Credential :
Telephone Number : 980-444-3023
Provider Enumeration Date : 09/16/2020
Last Update Date : 09/16/2020

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Directions to “LOCKE HEALTH, LLC ” Practice Location

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