Organization
LAWYERS GLEN RETIREMENT LIVING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN J ELLIOTTE (OWNER ADMINISTRATOR)
(704) 545-9555
Entity
Organization
Contact information
Practice address
10830 LAWYERS GLEN DRIVE, CHARLOTTE, NC 28227
(704) 545-9555
(704) 545-2075
Mailing address
10830 LAWYERS GLEN DRIVE, CHARLOTTE, NC 28227
(704) 545-9555
(704) 545-2075
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804718
—
NC
Enumeration date
01/16/2007
Last updated
05/12/2008
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