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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