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NPI Code Detail

MEDICARE: STEVENSONS HOME HEALTH CARE

MEDICARE: STEVENSONS HOME HEALTH CARE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1487823357
Entity Type Code : Organization
Provider Name (Legal Business Name) : STEVENSONS HOME HEALTH CARE
Provider Business Mailing Address
First Line : 7736 BATAVIA LN
Second Line :
City : CHARLOTTE
State : NC
Zip : 28213-5058
Country : US
Telephone Number : 704-449-4647
Fax Number :
Provider Business Practice Location Address
First Line : 7736 BATAVIA LN
Second Line :
City : CHARLOTTE
State : NC
Zip : 28213-5058
Country : US
Telephone Number : 704-449-4647
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MISS SHANITA MONAE' CARTER
Credential :
Telephone Number : 704-449-4647
Provider Enumeration Date : 02/26/2008
Last Update Date : 02/26/2008

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Directions to “STEVENSONS HOME HEALTH CARE ” Practice Location

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