Organization
THE CYPRESS OF CHARLOTTE CLUB INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES P COLEMAN (PRESIDENT)
(704) 714-5500
Entity
Organization
Contact information
Practice address
6920 MARCHING DUCK DRIVE, CHARLOTTE, NC 28210-3288
(704) 714-5555
(704) 714-5556
Mailing address
3442 CYPRESS CLUB DRIVE, CHARLOTTE, NC 28210-2467
(704) 714-5500
(704) 714-5501
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0584
NC
Other
Enumeration date
11/02/2005
Last updated
01/12/2018
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