Brea Charlotte, Llc

NPI 1306992664 - Assisted Living Facility - 310400000X

NPI Details
NPI 1306992664
Enumeration Date 01/26/2007
Last Updated 05/16/2016
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name BRYAN BRYAN
Position EVP, CHIEF ADMIN. OFFICER
Phone (704) 553-8700
Fax (704) 553-8922
Practice Location
5326 PARK RD
CHARLOTTE NC, 28209-3648, US
Phone (704) 553-8700
Fax (704) 553-8922
Business Location
6737 W WASHINGTON ST
SUITE 2300
MILWAUKEE WI, 53214-5647, US
Phone
Fax
Toxanomy
Taxonomy Code 310400000X
License State North Carolina
License Number HAL-060-085
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According to our database, Brea Charlotte, Llc NPI is 1306992664, taxonomy code is 310400000X and license number is HAL-060-085, license state is located at North Carolina. Brea Charlotte, Llc physically located at 5326 Park Rd, Charlotte NC, 28209-3648. NPI Number 1033115704 has the healthcare provider type.

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1306992664 NPI number is provided on an as is basis without warranty of any kind. 1306992664 is maintained by the National Plan & Provider Enumeration System. The contents of Brea Charlotte, Llc are for informational purposes only.