- Enrollment id
- O20050420001288
- Enrollment state
- NC
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1548398720
- Multiple npi flag
- N
- Ccn
- 341500
- Associate id
- 1355331208
- Organization name
- HOSPICE & PALLIATIVE CARE CHARLOTTE REGION
- Doing business as name
- HOSPICE OF LAURENS COUNTY
- Incorporation date
- 1978-03-08
- Incorporation state
- NC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 7845 LITTLE AVE
- City
- CHARLOTTE
- State
- NC
- Zip code
- 282268198