MEDICARE: FIRST CALL SERVICES LLC

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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1992023626
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST CALL SERVICES LLC

Provider Business Mailing Address
First Line	:	PO BOX 26384
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28221-6384
Country	:	US
Telephone Number	:	704-615-4206
Fax Number	:	704-531-8490

Provider Business Practice Location Address
First Line	:	3137 AMITY CT
Second Line	:	SUITE 100
City	:	CHARLOTTE
State	:	NC
Zip	:	28215-4935
Country	:	US
Telephone Number	:	704-615-4206
Fax Number	:	704-531-8490

Authorized Official
Title or Position	:	MEMBER
Name	:	MISS TREDAWN ANNASTEEN PATTERSON
Credential	:
Telephone Number	:	704-615-4206

Provider Enumeration Date	:	05/05/2010
Last Update Date	:	05/05/2010

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