Organization
AVANTE AT CHARLOTTE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEAN J DICKMANN (PRESIDENT)
(954) 987-7180
Entity
Organization
Contact information
Practice address
4801 RANDOLPH RD, CHARLOTTE, NC 28211-2921
(704) 364-8363
(704) 365-6215
Mailing address
4000 HOLLYWOOD BLVD, SUITE 540 NORTH, HOLLYWOOD, FL 33021-6751
(954) 987-7180
(954) 989-5287
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
NH0267
NC
314000000X
Skilled Nursing Facility
Primary
NH0267
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3416205
—
NC
05
—
3425134
—
NC
Enumeration date
10/26/2006
Last updated
06/03/2008
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