NPI 1306992664

Brea Charlotte, LLC

Organisation Alzheimer Center (Dementia Center) Charlotte, NC

Practice location

Address: 5326 Park Rd, Charlotte, NC 28209-3648
Phone: (704) 553-8700
Fax: (704) 553-8922
Mailing address: 6737 W Washington St Suite 2300, Milwaukee, WI 53214-5647

Authorised official

Name: Bryan Richardson
Title: Evp, Chief Admin. Officer
Phone: (615) 564-8131

Registered specialties (2)

Alzheimer Center (Dementia Center) Primary

Nursing & Custodial Care Facilities Taxonomy 311500000X Licence HAL-060-085 (NC)

Other Alzheimer Center (Dementia Center) providers in North Carolina →

Assisted Living Facility

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence HAL-060-085 (NC)

Other Assisted Living Facility providers in North Carolina →

Registry record

NPI: 1306992664
Entity type: Organization
NPI issued: 26 Jan 2007
Record last updated: 16 May 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.