OrganizationActive
Senior Total Life Care
NPI 1801644901 · PACE Provider Organization · Shelby, NC
Provider details
- NPI number
- 1801644901
- Entity type
- Organization
- Primary specialty
- PACE Provider OrganizationAgencies
- Organization subpart
- No
- Authorized official
- Catherine Kenzig, Executive Director(704) 860-8985
Specialties & taxonomies
Agencies
Practice location
103 Tr Harris Road
Shelby, NC 28150
Phone: (704) 874-0600
Approximate (ZIP-level) locationGet directions
Mailing address
1875 Remount Rd
Gastonia, NC 28054-7413
Registry dates
- Enumerated
- 2024-05-13
- Last updated
- 2024-05-13
- Certified
- 2024-05-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.