Individual provider · Type 1 NPI

Rebecca Bergman

Nursing Facility/Intermediate Care Facility · Charlotte, NC

NPI number 1922495647 Active

Practice location

515 Clanton Rd
Charlotte, NC 28217-1309

Mailing address

3604 Artists Way
Charlotte, NC 28205-1253

Specialties and licenses

TaxonomyCodeLicense
Nursing Facility/Intermediate Care Facility Primary 313M00000X267487 (NC)

Nursing Facility/Intermediate Care Facility: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical conditi…

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About NPI 1922495647

Rebecca Bergman's National Provider Identifier is 1922495647, issued on Apr 21, 2015. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Charlotte, NC. The record was last updated on Apr 21, 2015.