Provider Demographics
NPI:1871819102
Name:A ABLE BODY ASSISTANCE HOME CARE
Entity Type:Organization
Organization Name:A ABLE BODY ASSISTANCE HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNWER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:L
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-728-8979
Mailing Address - Street 1:2001 COMMONWEALTH AVE STE G
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28205-5021
Mailing Address - Country:US
Mailing Address - Phone:704-377-3267
Mailing Address - Fax:704-377-9702
Practice Address - Street 1:2001 COMMONWEALTH AVE STE G
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28205-5021
Practice Address - Country:US
Practice Address - Phone:704-377-3267
Practice Address - Fax:704-377-9702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-12
Last Update Date:2010-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC4042253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care