# COMPLETE CARE AT CHARLOTTE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104351659
- **Authorized official:** SHALOM STEIN (MEMBER)
- **Authorized official phone:** (732) 966-3091

## Contact information

- **Practice address:** 2616 E 5TH ST, CHARLOTTE, NC 28204-4343
- **Practice address phone:** (707) 333-5165
- **Mailing address:** 1 TRUMAN AVE, LAKEWOOD, NJ 08701-5661
- **Mailing address phone:** (732) 966-3091

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 04/21/2017
- **Last updated:** 04/21/2017
