Individual provider · Type 1 NPI
Endrain N. Stafford
Adult Care Home Facility · Charlotte, NC
NPI number
1861089302
Active
Practice location
6100 Teaneck Pl
Charlotte, NC 28215-4063
Mailing address
8900 Fuschia Ct
Charlotte, NC 28215-9420
Other practice locations
- 8900 Fuschia Ct, Charlotte, NC 28215-9420 · (704) 241-1163
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Another provider at this address
Other adult care home facility providers in Charlotte
About NPI 1861089302
Endrain N. Stafford's National Provider Identifier is 1861089302, issued on Dec 30, 2020. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Charlotte, NC. The record was last updated on Mar 16, 2022.