Provider Demographics
NPI:1851573695
Name:CAROLINA HEALTH PROFESSIONALS INC
Entity Type:Organization
Organization Name:CAROLINA HEALTH PROFESSIONALS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OFFICE
Authorized Official - Prefix:MRS
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:BOONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-872-2388
Mailing Address - Street 1:206 COOPER ST
Mailing Address - Street 2:SUITE 117
Mailing Address - City:STATESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28677-5897
Mailing Address - Country:US
Mailing Address - Phone:704-872-2388
Mailing Address - Fax:704-872-9112
Practice Address - Street 1:206 COOPER ST
Practice Address - Street 2:SUITE 117
Practice Address - City:STATESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28677-5897
Practice Address - Country:US
Practice Address - Phone:704-872-2388
Practice Address - Fax:704-872-9112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-04
Last Update Date:2008-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC0013251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care