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NPI Code Detail

MEDICARE: VOCA CORPORATION OF NORTH CAROLINA

MEDICARE: VOCA CORPORATION OF NORTH CAROLINA
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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1861822314
Entity Type Code : Organization
Provider Name (Legal Business Name) : VOCA CORPORATION OF NORTH CAROLINA
Provider Business Mailing Address
First Line : 805 N WHITTINGTON PKWY
Second Line :
City : LOUISVILLE
State : KY
Zip : 40222-7101
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4109 ENOCH DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28269-2578
Country : US
Telephone Number : 704-519-0077
Fax Number :
Authorized Official
Title or Position : PROVIDER ENROLLMENT MANAGER
Name : MS. ANGIE MATTINGLY
Credential :
Telephone Number : 502-394-2100
Provider Enumeration Date : 11/20/2013
Last Update Date : 06/04/2021

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Directions to “VOCA CORPORATION OF NORTH CAROLINA ” Practice Location

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