MEDICARE: TRUECARE LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1982859690
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRUECARE LLC

Provider Business Mailing Address
First Line	:	8611 CONCORD MILLS BLVD
Second Line	:
City	:	CONCORD
State	:	NC
Zip	:	28027-5400
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4935 ALBERMARLE ROAD
Second Line	:	UPPER
City	:	CHARLOTTE
State	:	NC
Zip	:	28205
Country	:	US
Telephone Number	:	704-566-9038
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	NOBLE THOMAS
Credential	:
Telephone Number	:	704-785-9595

Provider Enumeration Date	:	11/21/2008
Last Update Date	:	11/21/2008

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Directions to “TRUECARE LLC ” Practice Location

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