Organization
QUALITY ASSISTED LIVING CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA JACKSON (OWNER)
(704) 390-1172
Entity
Organization
Contact information
Practice address
8118 IVY HOLLOW DR, CHARLOTTE, NC 28227-2439
(704) 390-1172
Mailing address
8601 DUNSINANE DR, CHARLOTTE, NC 28227-2629
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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