Charlotte Opco Holdings, LLC
Custodial Care Facility, Adult Care Home in Charlotte, NC. Organization (NPI-2).
NPI number1982151650
StatusActive
Last updated in NPPESNov 1, 2021
Details
- NPI
- 1982151650
- Entity type
- Organization (NPI-2)
- Legal business name
- Charlotte Opco Holdings, LLC
- Organization subpart
- No
- Enumeration date
- Sep 9, 2016
- Certification date
- Nov 1, 2021
- Last updated
- Nov 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 311ZA0620X | Custodial Care Facility, Adult Care Home | – | – | Yes |
| 310400000X | Assisted Living Facility | HAL060149 | NC | |
| 343900000X | Non-emergency Medical Transport (VAN) | – | – |
Other names
- East Towne (Doing Business As)
Practice location
4815 N Sharon Amity RdCharlotte, NC 28205-4669
Phone 704-531-0948
Mailing address
Po Box 2568Hickory, NC 28603-2568
Phone 828-322-5535 · Fax 828-326-8115
Authorized official
Charles E Trefzger
Manager
8283225535
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