Provider Demographics
NPI:1740704352
Name:TARGETCARE, INC.
Entity type:Organization
Organization Name:TARGETCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:S
Authorized Official - Last Name:LAFAR
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:704-333-5575
Mailing Address - Street 1:831 E. MOREHEAD STREET
Mailing Address - Street 2:SUITE 900
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28202
Mailing Address - Country:US
Mailing Address - Phone:704-333-5575
Mailing Address - Fax:704-731-0934
Practice Address - Street 1:831 E. MOREHEAD STREET
Practice Address - Street 2:SUITE 900
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28202
Practice Address - Country:US
Practice Address - Phone:704-333-5575
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-26
Last Update Date:2017-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty