Healthcare Provider Details

I. General information

NPI: 1942956560
Provider Name (Legal Business Name): STRONG ARMS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2022
Last Update Date: 02/22/2022
Certification Date: 02/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

634 KINGVILLE DR
CHARLOTTE NC
28213-4931
US

IV. Provider business mailing address

5102 RASPBERRY KNOLL DR
CHARLOTTE NC
28208-2761
US

V. Phone/Fax

Practice location:
  • Phone: 704-363-6208
  • Fax:
Mailing address:
  • Phone: 704-363-6208
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: DARREN ORLANDO ARMSTRONG
Title or Position: DIRECTOR
Credential:
Phone: 704-363-6208