| Carolina Care One, Llc. | |
|
3601 Beaux St Charlotte NC 28208-4730 | |
| (704) 299-2616 | |
| Not Available |
| Full Name | Carolina Care One, Llc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3601 Beaux St, Charlotte, North Carolina |
| Authorized Official Name and Position | Claude Bernard Mcrae (OWNER) |
| Authorized Official Contact | 7042992616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Care One, Llc. 3601 Beaux St Charlotte NC 28208-4730 Ph: (704) 299-2616 | Carolina Care One, Llc. 3601 Beaux St Charlotte NC 28208-4730 Ph: (704) 299-2616 |
| NPI Number | 1003063330 |
|---|---|
| Provider Enumeration Date | 08/18/2008 |
| Last Update Date | 12/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003063330 | NPI | - | NPPES |
| 000000000 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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