Organization
ADULT CARE & SHARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LUANN PETERS (EXECUTIVE DIRECTOR)
(704) 567-2700
Entity
Organization
Contact information
Practice address
6709 IDLEWILD RD, CHARLOTTE, NC 28212-0592
(704) 567-2700
(704) 567-0706
Mailing address
6709 IDLEWILD RD, CHARLOTTE, NC 28212-0592
(704) 567-2700
(704) 567-0706
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408592
—
NC
Enumeration date
08/31/2007
Last updated
08/31/2007
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