MEDICARE: UMAR SERVICES, INC

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
1	251C00000X	Developmentally Disabled Services Day Training Agency	MHL0601044	NC
2	251S00000X	Community/Behavioral Health Agency	MHL-060-1044	NC

General Provider Information

NPI Number	:	1679850572
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UMAR SERVICES, INC

Provider Business Mailing Address
First Line	:	5350 77 CENTER DR STE 201
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28217-2783
Country	:	US
Telephone Number	:	704-875-1328
Fax Number	:

Provider Business Practice Location Address
First Line	:	3015 S TRYON ST
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28217-1341
Country	:	US
Telephone Number	:	704-348-0994
Fax Number	:

Authorized Official
Title or Position	:	CEO AND PRESIDENT
Name	:	MARILYN GARNER
Credential	:
Telephone Number	:	704-659-7630

Provider Enumeration Date	:	11/07/2011
Last Update Date	:	07/21/2022

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