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Organization
NORTH CAROLINA LIFE OF REHABILITATION, INC.
Active
Organization
NORTH CAROLINA LIFE OF REHABILITATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDUARDO EXPOSITO (PRESIDENT)
(704) 728-3034
Entity
Organization
Contact information
Practice address
6028 THE PLZ, CHARLOTTE, NC 28215-2450
(704) 728-3034
Mailing address
206 COTTONWOOD PARK DR, CHARLOTTE, NC 28214-8700
(704) 728-3034
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3409150
(CAP) PROVIDER NUMBER
NC
Enumeration date
03/15/2007
Last updated
12/18/2018
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