Healthcare Provider Details

I. General information

NPI: 1861621807
Provider Name (Legal Business Name): CARE & REUNIFICATION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2009
Last Update Date: 02/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5285 MAIN ST SUITE 18
SHALLOTTE NC
28470-3458
US

IV. Provider business mailing address

5285 MAIN ST SUITE 18
SHALLOTTE NC
28470-3458
US

V. Phone/Fax

Practice location:
  • Phone: 910-754-9544
  • Fax: 910-754-7194
Mailing address:
  • Phone: 910-754-9544
  • Fax: 910-754-7194

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. LENDA B HANKINS
Title or Position: PRESIDENT
Credential:
Phone: 910-754-9544