Organization
COLTRANE LIFE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN CAUDLE (ADMINISTRATIVE FINANCIAL ASSISTANT)
(704) 788-1215
Entity
Organization
Contact information
Practice address
321 CORBAN AVE SE, CONCORD, NC 28025-2710
(704) 788-1215
(704) 788-1209
Mailing address
321 CORBAN AVE SE, CONCORD, NC 28025-2710
(704) 788-1215
(704) 788-1209
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
NC
385H00000X
Respite Care
—
NC
Other
Enumeration date
04/25/2007
Last updated
02/14/2013
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