Healthcare Provider Details

I. General information

NPI: 1881812923
Provider Name (Legal Business Name): PARTNERS IN CARE, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1914 BRUNSWICK AVE SUITE 1-B
CHARLOTTE NC
28207-2808
US

IV. Provider business mailing address

1914 BRUNSWICK AVE SUITE 1-B
CHARLOTTE NC
28207-2808
US

V. Phone/Fax

Practice location:
  • Phone: 704-554-9904
  • Fax:
Mailing address:
  • Phone: 704-554-9904
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberHC2373
License Number StateNC

VIII. Authorized Official

Name: MRS. SALLY OLIN
Title or Position: OWNER
Credential: RN
Phone: 704-554-9904