NPI 1033241005

Micah's Angels INC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Charlotte, NC

Practice location

Address: 11822 Stewarts Crossing Dr, Charlotte, NC 28215-5072
Phone: (704) 712-8454
Fax: (704) 532-4414

Authorised official

Name: Paulette L Washington
Title: Owner
Phone: (704) 712-8454

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence MHL-060-846 (NC)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in North Carolina →

Registry record

NPI: 1033241005
Entity type: Organization
NPI issued: 12 Mar 2007
Record last updated: 24 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.