<Unavail>

LBN: Provizions Care Llc
<Unavail> is an health care organization with primary practice located at 424 Lakewood Ave , Charlotte NC 28208-3148. The organization recently has 5 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Agencies / In Home Supportive Care, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Respite Care Facility / Respite Care, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities. Agencies / Community/Behavioral Health is the primary health care specialty. Provizions Care Llc can be contacted via phone (704) 963-7552, or through Pross, Latasha U via phone (704) 963-7552.

Contact Information

Primary practice address
424 Lakewood Ave Charlotte NC 28208-3148
Phone: (704) 963-7552
Fax: (774) 307-2797
Website:
Map and Directions
Authorized official contact:
Name: Pross, Latasha U
Phone: (704) 963-7552

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Agencies / In Home Supportive Care 253Z00000X
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X
Respite Care Facility / Respite Care 385H00000X
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X

Profile Details

NPI number 1528513983
LBN Legal business name Provizions Care Llc
DBA Doing business as <Unavail>
Authorized official Pross, Latasha U
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2016
Last updated Oct 16th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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