LORENZO SHEWAGN DIVINE GRAINGER

CHARLOTTE, NC
NPI1215787254
Entity TypeOrganization
Authorized ContactLORENZO GRAINGER
Owner
980-432-2376
Organization Subpart ?No
Primary Taxonomy253Z00000X In Home Supportive Care
Enumeration Date2024-03-25
Last Update Date2024-03-25
Business Address
LORENZO SHEWAGN DIVINE GRAINGER
11020 DAVID TAYLOR DR
CHARLOTTE, NC 28262-1101
Phone number: 980-432-2376
Mailing Address
LORENZO SHEWAGN DIVINE GRAINGER
11020 DAVID TAYLOR DR
CHARLOTTE, NC 28262-1101
Phone number: 980-432-2376