Provider Demographics
NPI:1922333038
Name:WELDY LIFE ENTERPRISES INC.
Entity Type:Organization
Organization Name:WELDY LIFE ENTERPRISES INC.
Other - Org Name:SYNERGY HOMECARE OF LAKE NORMAN AND CHARLOTTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRENT
Authorized Official - Middle Name:
Authorized Official - Last Name:WELDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-897-0496
Mailing Address - Street 1:11330 VANSTORY DR
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-8143
Mailing Address - Country:US
Mailing Address - Phone:704-897-0496
Mailing Address - Fax:704-897-0544
Practice Address - Street 1:11330 VANSTORY DR
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-8143
Practice Address - Country:US
Practice Address - Phone:704-897-0496
Practice Address - Fax:704-897-0544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-07
Last Update Date:2009-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC3905253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care