MEDICARE: MONARCH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251S00000X	Community/Behavioral Health Agency
2	311ZA0620X	Adult Care Home Facility
3	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1801196530
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MONARCH

Provider Business Mailing Address
First Line	:	350 PEE DEE AVE
Second Line	:	SUITE
City	:	ALBEMARLE
State	:	NC
Zip	:	28001-4945
Country	:	US
Telephone Number	:	704-986-1522
Fax Number	:	704-982-5279

Provider Business Practice Location Address
First Line	:	3711 CARMEL FOREST DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28226-8117
Country	:	US
Telephone Number	:	704-542-8727
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	CINDY JONES
Credential	:
Telephone Number	:	704-986-1522

Provider Enumeration Date	:	10/28/2010
Last Update Date	:	11/14/2013

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Directions to “MONARCH ” Practice Location

Language	Start Address	Practice Location

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