Organization
CHARLOTTE ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JODI WELNICKE (BUSINESS OFFICE MGR.)
(704) 545-7005
Entity
Organization
Contact information
Practice address
8700 LAWYERS RD, CHARLOTTE, NC 28227-8740
(704) 545-7005
(704) 545-6613
Mailing address
8700 LAWYERS RD, CHARLOTTE, NC 28227-8740
(704) 545-7005
(704) 545-6613
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL-060-068
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805023
—
NC
Enumeration date
01/10/2007
Last updated
08/22/2020
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