# WP-CHARLOTTE AL HOLDINGS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Queen City Assisted Living
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356789143
- **Authorized official:** CHARLES E TREFZGER (MANAGER)
- **Authorized official phone:** (828) 322-5535

## Contact information

- **Practice address:** 1700 MONTANA DR, CHARLOTTE, NC 28216-3604
- **Practice address phone:** (704) 393-2824
- **Practice address fax:** (704) 393-3476
- **Mailing address:** PO BOX 2568, HICKORY, NC 28603-2568
- **Mailing address phone:** (828) 261-7304
- **Mailing address fax:** (828) 326-8115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | HAL-060-126 | NC | — |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |

## Other

- **Enumeration date:** 06/13/2013
- **Last updated:** 10/26/2021