Organization · Type 2 NPI
Northlake Al Holdings, LLC
Adult Care Home Facility · Charlotte, NC
NPI number
1063964823
Active
Practice location
9108 Reames Rd
Charlotte, NC 28216-1824
Mailing address
PO Box 2568
Hickory, NC 28603-2568
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility | 310400000X | HAL060150 (NC) |
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
| Non-emergency Medical Transport (VAN) | 343900000X | None listed |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
2 other providers at this address
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About NPI 1063964823
Northlake Al Holdings, LLC's National Provider Identifier is 1063964823, issued on Oct 27, 2016. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Charlotte, NC. The record was last updated on Nov 2, 2021.