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ETTALOVE FAMILY CARE HOME NPI 1952560997


NPI Information

NPI: 1952560997
Provider Name: ETTALOVE FAMILY CARE HOME
Classification: Clinic/Center - 261QA0005X
Entity Type: Organization

Specialization: Ambulatory Family Planning Facility

Address:
1951 DIETRICH LN
CHARLOTTE, NC
ZIP 28262
Phone: (704) 509-5596
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ETTALOVE FAMILY CARE HOME is an ambulatory family planning facility clinic center in Charlotte, NC. The provider is an abortion/family planning facility where services are provided at a fixed specific location. An Ambulatory Family Planning Facility does not provide overnight accommodations. The following procedures may be performed at an Ambulatory Family Planning Facility: abortions, laproscopy, hysterectomies, tubule ligation and other related procedures. Abortion is considered voluntary termination of pregnancy. ETTALOVE FAMILY CARE HOME NPI is 1952560997. The provider is registered as an organization entity type.

The provider's business location address is:

1951 DIETRICH LN
CHARLOTTE, NC
ZIP 28262-526
Phone: (704) 509-5596
Fax: (704) 509-5596

The provider's authorized official is Teresa Yvette Washington .
The authorized official title is Administrator and has the following contact phone number (704) 509-5596.

The enumeration date for this NPI number is 6/5/2008 and was last updated on 6/5/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA0005XClinic/CenterAmbulatory Family Planning FacilityFCL-060-072NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17805172MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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