# SENIOR MEMORY CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PRESTON HOUSE 2
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669607727
- **Authorized official:** MR. NORMAN JOHN GORDON (PRESIDENT EDENCARE INC., MEMBER)
- **Authorized official phone:** (704) 895-3645

## Contact information

- **Practice address:** 4920 HARRIS WOODS BLVD, CHARLOTTE, NC 28269-0486
- **Practice address phone:** (704) 895-3645
- **Mailing address:** PO BOX 837, DAVIDSON, NC 28036-0837
- **Mailing address phone:** (704) 895-3645
- **Mailing address fax:** (704) 896-1978

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311500000X | Alzheimer Center (Dementia Center) | HAL060067 | NC | Yes |

## Other

- **Enumeration date:** 05/19/2009
- **Last updated:** 05/19/2009