| Slay' Rest Home | |
|
2920 Cindy Ln Charlotte NC 28269-4213 | |
| (704) 509-9132 | |
| (704) 596-8401 |
| Full Name | Slay' Rest Home |
|---|---|
| Speciality | Clinic/center |
| Location | 2920 Cindy Ln, Charlotte, North Carolina |
| Authorized Official Name and Position | Phyllis Miller Slay (ADMINISTRATOR) |
| Authorized Official Contact | 7045968401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Slay' Rest Home 2920 Cindy Ln Charlotte NC 28269-4213 Ph: (704) 596-8401 | Slay' Rest Home 2920 Cindy Ln Charlotte NC 28269-4213 Ph: (704) 509-9132 |
| NPI Number | 1407047343 |
|---|---|
| Provider Enumeration Date | 08/06/2007 |
| Last Update Date | 08/06/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407047343 | NPI | - | NPPES |
| 7803805 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | HAL 060-038 (North Carolina) | Primary |
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