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Organization

ORIOLE PLACE ADULT CARE HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MILDRED M PHILIPPE-AUGUSTE RN (ADMINISTRATOR)
(704) 494-4731
Entity
Organization

Contact information

Practice address
3505 ORIOLE PL, CHARLOTTE, NC 28269-1214
(704) 494-4731
(704) 494-4731
Mailing address
3505 ORIOLE PL, CHARLOTTE, NC 28269-1214
(704) 494-4731
(704) 494-4731

Taxonomy

Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
FCL-060-084
NC
343900000X
Non-emergency Medical Transport (VAN)
FCL-060-084
NC

Other

Enumeration date
02/14/2007
Last updated
10/26/2007
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