Organization · NPI-2

4c Company, LLC

Custodial Care Facility, Adult Care Home · Charlotte, NC

NPI number1366677692
StatusActive
Last updated in NPPESSep 29, 2011

Details

NPI
1366677692
Entity type
Organization (NPI-2)
Legal business name
4c Company, LLC
Organization subpart
No
Enumeration date
May 15, 2009
Last updated
Sep 29, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
311ZA0620X Custodial Care Facility, Adult Care HomeFCL-060-115NCYes

Other names

  • The Radbourne Manor (Doing Business As)

Practice location

3505 Oriole Pl
Charlotte, NC 28269-1214

Phone 704-394-8968 · Fax 704-394-8967

Mailing address

3552 Beatties Ford Road
Charlotte, NC 28216-3742

Phone 704-394-8968 · Fax 704-394-8967

Authorized official

Lisa Wigfall
Ceo
7043948968

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Custodial Care Facility, Adult Care Home providers in Charlotte, NC