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Onya Kasongo, LPN
Intellectual Disabilities Intermediate Care Facility in Charlotte, North Carolina
NPI 1013615947

Onya Kasongo is a Intellectual Disabilities Intermediate Care Facility based in Charlotte, NC. Onya Kasongo practices in Charlotte, NC and has the professional credentials of LPN. The NPI Number for Onya Kasongo is 1013615947 and holds a License No. (North Carolina).

The current practice location address for Onya Kasongo is 3113 Buckleigh Dr, Charlotte, NC and can be reached out via phone at 704-909-9009.

Location: 3113 Buckleigh Dr, Charlotte, NC, 28215-7610
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013615947
Provider Name
Onya Kasongo
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
3113 Buckleigh Dr, Charlotte, NC, 28215-7610
Phone Number
704-909-9009
Fax Number
Provider Enumeration Date
02/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3113 Buckleigh Dr
City
Charlotte
State
North Carolina
Zip
28215-7610
Phone Number
704-909-9009
Fax Number
person
Provider Business Mailing Address Details
Address
3113 Buckleigh Dr
City
Charlotte
State
North Carolina
Zip
28215-7610
Phone Number
704-909-9009
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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