Organization · Type 2 NPI

Wp-Charlotte Al Holdings, LLC

Adult Care Home Facility · Charlotte, NC

NPI number 1356789143 Active

Practice location

1700 Montana Dr
Charlotte, NC 28216-3604

Call (704) 393-2824 Map

Fax (704) 393-3476

Mailing address

PO Box 2568
Hickory, NC 28603-2568

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility	310400000X	HAL-060-126 (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.

Another provider at this address

Helton Manor West Assisted LivingAssisted Living Facility Charlotte, NC NPI 1891906194

Other adult care home facility providers in Charlotte

See all in Charlotte →

NPI record

NPI: 1356789143
Entity type: Organization (Type 2)
Issued: Jun 13, 2013
Last updated: Oct 26, 2021
Status: Active

Other names

<unavail>
Queen City Assisted Living · doing business as
Queen City Assisted Living · doing business as

Authorized official

Charles E Trefzger
Manager
(828) 322-5535

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1356789143

Wp-Charlotte Al Holdings, LLC's National Provider Identifier is 1356789143, issued on Jun 13, 2013. 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 Oct 26, 2021.