Provider Demographics
NPI:1972067296
Name:AREA HEALTHCARE LLC
Entity type:Organization
Organization Name:AREA HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:LITTLEJOHN
Authorized Official - Suffix:
Authorized Official - Credentials:CSAC
Authorized Official - Phone:919-612-2552
Mailing Address - Street 1:10224 DAUFUSKIE DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28278-9048
Mailing Address - Country:US
Mailing Address - Phone:919-612-2552
Mailing Address - Fax:
Practice Address - Street 1:10224 DAUFUSKIE DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28278-9048
Practice Address - Country:US
Practice Address - Phone:919-612-2552
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-31
Last Update Date:2019-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health