Healthcare Provider Details

I. General information

NPI: 1255090106
Provider Name (Legal Business Name): UNITED AMERICA HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2021
Last Update Date: 12/27/2021
Certification Date: 12/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7615 ABIGAIL GLEN DR
CHARLOTTE NC
28212-8643
US

IV. Provider business mailing address

7615 ABIGAIL GLEN DR
CHARLOTTE NC
28212-8643
US

V. Phone/Fax

Practice location:
  • Phone: 704-615-8808
  • Fax:
Mailing address:
  • Phone: 704-615-8808
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code177F00000X
TaxonomyLodging Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL HASKER JENKINS JR.
Title or Position: OWNER
Credential:
Phone: 704-615-8808