Organization
CAROLINA CARE ONE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLAUDE BERNARD MCRAE BS (OWNER)
(704) 299-2616
Entity
Organization
Contact information
Practice address
3601 BEAUX ST, CHARLOTTE, NC 28208-4730
(704) 299-2616
Mailing address
3601 BEAUX ST, CHARLOTTE, NC 28208-4730
(704) 299-2616
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000000
—
NC
Enumeration date
08/18/2008
Last updated
12/22/2009
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