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NPI Code Detail

MEDICARE: HEALTHY HOMES LLC

MEDICARE: HEALTHY HOMES 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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1255898656
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTHY HOMES LLC
Provider Business Mailing Address
First Line : 125 REMOUNT RD STE C1
Second Line :
City : CHARLOTTE
State : NC
Zip : 28203-6459
Country : US
Telephone Number : 980-309-3039
Fax Number :
Provider Business Practice Location Address
First Line : 125 REMOUNT RD STE C1
Second Line :
City : CHARLOTTE
State : NC
Zip : 28203-6459
Country : US
Telephone Number : 980-309-3039
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : COLEY SCAGLIARINI
Credential :
Telephone Number : 980-309-3039
Provider Enumeration Date : 02/22/2019
Last Update Date : 02/22/2019

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Directions to “HEALTHY HOMES LLC ” Practice Location

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