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Organization
SARDIS OAKS
Active
Organization
SARDIS OAKS
Active
Other names
Sardis Oaks
Organization subpart
No
Provider details
NPI number
Authorized official
MR. COLIN CLODE (ADMINISTRATOR)
(704) 365-4202
Entity
Organization
Contact information
Practice address
5151 SARDIS RD, CHARLOTTE, NC 28270-5291
(704) 365-4202
(704) 364-4901
Mailing address
PO BOX 32861, CHARLOTTE, NC 28232-2861
(704) 512-6438
(704) 512-6485
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0483
NC
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0450970001
MEDICARE DME
NC
Enumeration date
06/18/2006
Last updated
02/26/2018
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