Whalio Doctors

NPI 1366595647

Preston House I, LLC

Organisation Alzheimer Center (Dementia Center) Charlotte, NC

Practice location

Address
4910 Harris Woods Blvd, Charlotte, NC 28269-0486
Phone
(704) 921-9279
Fax
(704) 896-1978
Mailing address
PO Box 837, Davidson, NC 28036-0837

Authorised official

Name
Norman J. Gordon
Title
Administrator
Phone
(704) 895-3645

Registered specialties

Alzheimer Center (Dementia Center) Primary
Nursing & Custodial Care Facilities Taxonomy 311500000X Licence HAL060031 (NC)

Registry record

NPI
1366595647
Entity type
Organization
NPI issued
19 Jan 2007
Record last updated
22 Aug 2020

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.