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NPI Code Detail

MEDICARE: HOMETOGETHER LLC

MEDICARE: HOMETOGETHER 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 : 1689142606
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOMETOGETHER LLC
Provider Business Mailing Address
First Line : 1110 REAMOOR DR
Second Line :
City : WAXHAW
State : NC
Zip : 28173-4514
Country : US
Telephone Number : 980-585-7435
Fax Number :
Provider Business Practice Location Address
First Line : 2329 E WT HARRIS BLVD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28213-5186
Country : US
Telephone Number : 704-529-9090
Fax Number : 704-529-9009
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : KATELYNN DONOVAN
Credential :
Telephone Number : 704-529-9090
Provider Enumeration Date : 11/07/2018
Last Update Date : 11/07/2018

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Directions to “HOMETOGETHER LLC ” Practice Location

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