# ARCLP-CHARLOTTE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brookdale Carriage Club Providence
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013967231
- **Authorized official:** ANNA F.C. MUNOZ (ASSISTANT SECRETARY)
- **Authorized official phone:** (414) 918-5443

## Contact information

- **Practice address:** 5800 OLD PROVIDENCE RD, CHARLOTTE, NC 28226-6872
- **Practice address phone:** (704) 365-8551
- **Practice address fax:** (704) 366-4270
- **Mailing address:** 5800 OLD PROVIDENCE RD, CHARLOTTE, NC 28226-6872
- **Mailing address phone:** (704) 365-8551

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | — |
| 314000000X | Skilled Nursing Facility | NH0574 | NC | Yes |

## Other

- **Enumeration date:** 05/10/2006
- **Last updated:** 02/25/2025