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Organization
ARDOR CARE OF CONCORD LLC
Active
Organization
ARDOR CARE OF CONCORD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENU PAL (MEMBER MANAGER)
(704) 566-3487
Entity
Organization
Contact information
Practice address
420 COPPERFIELD BLVD NE, CONCORD, NC 28025-2404
(704) 566-3487
Mailing address
9010 GLENWATER DR STE 106, CHARLOTTE, NC 28262-8593
(704) 566-3487
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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