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Rebecca Bergman
Nursing Facility/Intermediate Care Facility in Charlotte, North Carolina
NPI 1922495647

Rebecca Bergman is a Nursing Facility/Intermediate Care Facility based in Charlotte, NC. Rebecca Bergman practices in Charlotte, NC. The NPI Number for Rebecca Bergman is 1922495647 and holds a License No. 267487 (North Carolina).

The current practice location address for Rebecca Bergman is 515 Clanton Rd, Charlotte, NC and can be reached out via phone at 704-782-3131.

Location: 515 Clanton Rd, Charlotte, NC, 28205-1253
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922495647
Provider Name
Rebecca Bergman
Credential
Provider Entity Type
Individual
Gender
Female
Address
515 Clanton Rd, Charlotte, NC, 28205-1253
Phone Number
704-782-3131
Fax Number
Provider Enumeration Date
04/21/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
515 Clanton Rd
City
Charlotte
State
North Carolina
Zip
28217-1309
Phone Number
704-782-3131
Fax Number
person
Provider Business Mailing Address Details
Address
515 Clanton Rd
City
Charlotte
State
North Carolina
Zip
28217-1309
Phone Number
704-782-3131
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
267487 (North Carolina)
Definition
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 condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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