Healthcare Provider Details

I. General information

NPI: 1538765995
Provider Name (Legal Business Name): BOYCE LANDSCAPE DESIGNS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2020
Last Update Date: 12/09/2020
Certification Date: 12/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 WALNUT AVE
CHARLOTTE NC
28208-4532
US

IV. Provider business mailing address

310 WALNUT AVE
CHARLOTTE NC
28208-4532
US

V. Phone/Fax

Practice location:
  • Phone: 704-222-9591
  • Fax:
Mailing address:
  • Phone: 704-222-9591
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code177F00000X
TaxonomyLodging Provider
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM1000X
TaxonomyMigrant Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: REGINALD BOYCE
Title or Position: OWNER
Credential:
Phone: 704-222-9591