Organization Name: | INNOVATIVE RESIDENTIAL CARE LLP |
NPI Number: | 1619246675 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MELISSA GAIL LYNCH (PARTNER/ADMINISTRATOR) |
Mailing Address: | 9305 Kestral Ridge Dr Charlotte |
State: | NC US |
Postal Code: | 282696170 |
Phone Number: | 7048752230 |
Fax Number: | 8667412056 |
NPI Enumeration Date: | 12/21/2011 |
NPI Last Update Date: | 12/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | FCL-060-119 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |