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NPI Code Detail

MEDICARE: CHRISTIAN WOMEN OF ELEGANCE, INC.

MEDICARE: CHRISTIAN WOMEN OF ELEGANCE, INC.
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
11041C0700XClinical Social WorkerMHL-060-973NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1801997416
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHRISTIAN WOMEN OF ELEGANCE, INC.
Provider Business Mailing Address
First Line : 1406 BEATTIES FORD ROAD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28216-4550
Country : US
Telephone Number : 704-332-9434
Fax Number : 704-332-9439
Provider Business Practice Location Address
First Line : 1406 BEATTIES FORD ROAD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28216-4550
Country : US
Telephone Number : 704-332-9434
Fax Number : 704-332-9439
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MRS. FRANCES REBECCA HALL
Credential :
Telephone Number : 704-332-9434
Provider Enumeration Date : 09/26/2006
Last Update Date : 10/31/2011

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Directions to “CHRISTIAN WOMEN OF ELEGANCE, INC. ” Practice Location

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