Healthcare Provider Details

I. General information

NPI: 1285393710
Provider Name (Legal Business Name): KULTURE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2021
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

172 PINE CONE DR
OXFORD NC
27565-2742
US

IV. Provider business mailing address

104 HAZELWOOD CT
OXFORD NC
27565-5985
US

V. Phone/Fax

Practice location:
  • Phone: 678-353-5451
  • Fax:
Mailing address:
  • Phone: 919-482-9723
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. SHERRY SHAVON HARRIS
Title or Position: OWNER
Credential:
Phone: 919-691-6868