# 4C COMPANY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Radbourne Manor
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366677692
- **Authorized official:** MRS. LISA WIGFALL MSW (CEO)
- **Authorized official phone:** (704) 394-8968

## Contact information

- **Practice address:** 3505 ORIOLE PL, CHARLOTTE, NC 28269-1214
- **Practice address phone:** (704) 394-8968
- **Practice address fax:** (704) 394-8967
- **Mailing address:** 3552 BEATTIES FORD ROAD, CHARLOTTE, NC 28216-3742
- **Mailing address phone:** (704) 394-8968
- **Mailing address fax:** (704) 394-8967

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | FCL-060-115 | NC | Yes |

## Other

- **Enumeration date:** 05/15/2009
- **Last updated:** 09/29/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3408495 | — | NC |
| 05 | — | 6006138 | — | NC |
| 05 | — | 6601443 | — | NC |
| 05 | — | 7806460 | — | NC |
| 05 | — | 8301662 | — | NC |