Ettalove Family Care Home

LBN: Ettalove Family Care Home
Ettalove Family Care Home is an health care organization with primary practice located at 1951 Dietrich Ln , Charlotte NC 28262-3526. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Family Planning Facility, which is considered as the primary health care specialty. Ettalove Family Care Home can be contacted via phone (704) 509-5596, or through Washington, Teresa Yvette via phone (704) 509-5596.

Contact Information

Primary practice address
1951 Dietrich Ln Charlotte NC 28262-3526
Phone: (704) 509-5596
Fax: (704) 509-5596
Website:
Map and Directions
Authorized official contact:
Name: Washington, Teresa Yvette
Phone: (704) 509-5596

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Family Planning Facility 261QA0005X FCL-060-072 North Carolina

Profile Details

NPI number 1952560997
LBN Legal business name Ettalove Family Care Home
DBA Doing business as
Authorized official Washington, Teresa Yvette
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2008
Last updated Jun 5th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1952560997 NPPES
North Carolina MEDICAID 7805172

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