|Entity Type||Healthcare Provider|
|Active||Over 11 years ago|
|Position||EVP, CHIEF ADMIN. OFFICER|
|5326 PARK RD
CHARLOTTE NC, 28209-3648, US
|6737 W WASHINGTON ST
MILWAUKEE WI, 53214-5647, US
|License State||North Carolina|
|Remove 1306992664 NPI Number|
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.
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.