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1861089302
ENDRAIN N STAFFORD
CHARLOTTE, NC
NPI
1861089302
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
311ZA0620X Custodial Care Facility, Adult Care Home
Enumeration Date
2020-12-30
Last Update Date
2022-03-16
Business Address
ENDRAIN N STAFFORD
6100 TEANECK PL
CHARLOTTE, NC 28215-4063
Phone number: 704-241-1163
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Mailing Address
ENDRAIN N STAFFORD
8900 FUSCHIA CT
CHARLOTTE, NC 28215-9420
Phone number: 704-241-1163
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