Organization
QC COOPERATIVE HOUSING LLC
Active
Other names
QC Cooperative
Organization subpart
No
Provider details
NPI number
Authorized official
LORENZO MCNULTY (CEO)
(704) 778-9999
Entity
Organization
Contact information
Practice address
183 MCKINNON AVE NE, CONCORD, NC 28025-3344
(704) 879-5055
Mailing address
11322 ERWIN RIDGE AVE, CHARLOTTE, NC 28213-4863
(704) 879-5055
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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