Organization
PRIME CARE ONE, LLC
Active
Organization
PRIME CARE ONE, LLC
Active
Other names
Brighton Gardens of Charlotte
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER TERRY (EXECUTIVE DIRECTOR)
(704) 643-1400
Entity
Organization
Contact information
Practice address
6000 PARK AVESOUTH, CHARLOTTE, NC 28210
(704) 643-1400
Mailing address
6000 PARK AVE SOUTH, CHARLOTTE, NC 28210
(704) 643-1400
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL-060-019
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804059
—
NC
Enumeration date
01/24/2007
Last updated
08/22/2020
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