| NPI | 1417131319 |
|---|---|
| Former Legal Business Name | MOORESVILLE SOUTH IREDELL HEALTH ASSISTANCE CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHARLES RORY CRAWFORD Executive Director 704-663-1992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2014-06-26 |