Provider Demographics
NPI:1831101849
Name:EUDY PROPERTIES & SERVICES, INC.
Entity Type:Organization
Organization Name:EUDY PROPERTIES & SERVICES, INC.
Other - Org Name:TLC AT HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATIOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:P
Authorized Official - Last Name:EUDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-986-4852
Mailing Address - Street 1:2211 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ALBEMARLE
Mailing Address - State:NC
Mailing Address - Zip Code:28001-5425
Mailing Address - Country:US
Mailing Address - Phone:704-986-4852
Mailing Address - Fax:704-986-4854
Practice Address - Street 1:2211 W MAIN ST
Practice Address - Street 2:
Practice Address - City:ALBEMARLE
Practice Address - State:NC
Practice Address - Zip Code:28001-5425
Practice Address - Country:US
Practice Address - Phone:704-986-4852
Practice Address - Fax:704-986-4854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-12
Last Update Date:2013-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC3143251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3408705Medicaid