Organization
CEICARE THERAPEUTIC DEVELOPMENT & HEALTH RESOURCE MANAGEMENT
Active
Other names
CeiCare Therapeutic Resources
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY FERNANDO MD (MEDICAL DIRECTOR)
(980) 230-6654
Entity
Organization
Contact information
Practice address
3020 PROSPERITY CHURCH RD, UNIT 178, CHARLOTTE, NC 28269-7197
(704) 605-5989
(980) 335-0434
Mailing address
3020 PROSPERITY CHURCH RD, UNIT 178, CHARLOTTE, NC 28269-7197
(704) 605-5989
(980) 335-0434
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6601527
—
NC
Enumeration date
01/04/2013
Last updated
01/04/2013
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