Healthcare Provider Details

I. General information

NPI: 1346649357
Provider Name (Legal Business Name): CTS UNIVERSAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2014
Last Update Date: 08/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1705 HOOSAC DR
WAXHAW NC
28173-5200
US

IV. Provider business mailing address

1705 HOOSAC DR
WAXHAW NC
28173-5200
US

V. Phone/Fax

Practice location:
  • Phone: 704-421-1086
  • Fax:
Mailing address:
  • Phone: 704-421-1086
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: DENEAN NUNN
Title or Position: OWNER
Credential:
Phone: 704-421-1086