Organization
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
Active
Other names
Cleveland Pines
Organization subpart
No
Provider details
NPI number
Authorized official
GREG A GOMBAR (EXECUTIVE VP/CFO)
(704) 355-2154
Entity
Organization
Contact information
Practice address
1404 N LAFAYETTE ST, SHELBY, NC 28150-3406
(980) 487-7439
(980) 487-7416
Mailing address
201 E GROVER ST, SHELBY, NC 28150-3917
(980) 487-7439
(980) 487-7439
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3405282
—
NC
Enumeration date
11/06/2014
Last updated
11/24/2014
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