Micah's Angels INC
NPI #1033241005 in Charlotte, North Carolina
Provider Information
- NPI Number
- 1033241005
- Entity Type
- Organization
- Organization Name
- Micah's Angels INC
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Mar 12, 2007
- Last Updated
- Jun 24, 2008
Practice Location
- Address
- 11822 STEWARTS CROSSING DR
- City
- Charlotte
- State
- North Carolina
- ZIP Code
- 28215-5072
- Phone
- (704) 712-8454
Authorized Official
- Name
- PAULETTE L WASHINGTON
- Title
- OWNER
- Phone
- (704) 712-8454
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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