Organization
PRESTON HOUSE I, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NORMAN J. GORDON (ADMINISTRATOR)
(704) 895-3645
Entity
Organization
Contact information
Practice address
4910 HARRIS WOODS BLVD, CHARLOTTE, NC 28269-0486
(704) 921-9279
(704) 896-1978
Mailing address
PO BOX 837, DAVIDSON, NC 28036-0837
(704) 895-3645
(704) 896-1978
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
HAL060031
NC
Other
Enumeration date
01/19/2007
Last updated
08/22/2020
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