Organization · NPI-2
Ardor Care Of Concord LLC
Intermediate Care Facility, Mental Illness · Concord, NC
NPI number1356074553
StatusActive
Last updated in NPPESJul 5, 2022
Details
- NPI
- 1356074553
- Entity type
- Organization (NPI-2)
- Legal business name
- Ardor Care Of Concord LLC
- Organization subpart
- No
- Enumeration date
- Jul 5, 2022
- Certification date
- Jul 5, 2022
- Last updated
- Jul 5, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310500000X | Intermediate Care Facility, Mental Illness | – | – | Yes |
| 385HR2060X | Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | – | – |
Practice location
420 Copperfield Blvd NeConcord, NC 28025-2404
Phone 704-566-3487
Mailing address
9010 Glenwater Dr Ste 106Charlotte, NC 28262-8593
Phone 704-566-3487
Authorized official
Renu Pal
Member Manager
7045663487
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