Healthcare Provider Details

I. General information

NPI: 1972129161
Provider Name (Legal Business Name): PROJECT HELP CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2020
Last Update Date: 06/23/2020
Certification Date: 06/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

172 ASHMONT DR
KANNAPOLIS NC
28081-7134
US

IV. Provider business mailing address

172 ASHMONT DR
KANNAPOLIS NC
28081-7134
US

V. Phone/Fax

Practice location:
  • Phone: 704-244-6476
  • Fax:
Mailing address:
  • Phone: 704-244-6476
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: YASHICA WILLIAMS
Title or Position: OWNER
Credential:
Phone: 704-244-6476