Basic Information
| Provider Information | |||||||||
| NPI: | 1326488248 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HEARTSTRINGS HOSPICE, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8508 PARK RD | ||||||||
| Address2: | PMB 191 | ||||||||
| City: | CHARLOTTE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 282105803 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 115 BLARNEY DR | ||||||||
| Address2: | SUITE 109 | ||||||||
| City: | COLUMBIA | ||||||||
| State: | SC | ||||||||
| PostalCode: | 292236291 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8036993233 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/25/2013 | ||||||||
| LastUpdateDate: | 06/25/2013 | ||||||||
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| AuthorizedOfficialLastName: | MEHALIC | ||||||||
| AuthorizedOfficialFirstName: | CHRISTOPHER | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 8036993233 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251G00000X | Y | Agencies | Hospice Care, Community Based |
No ID Information.