Provider Demographics
NPI:1396108288
Name:THE ADLOCK CORPORATION
Entity type:Organization
Organization Name:THE ADLOCK CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:LOCKWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:704-552-8581
Mailing Address - Street 1:3334 WINNIPEG CIR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-6411
Mailing Address - Country:US
Mailing Address - Phone:704-552-8581
Mailing Address - Fax:704-973-9680
Practice Address - Street 1:6701 FAIRVIEW RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-3877
Practice Address - Country:US
Practice Address - Phone:704-552-8581
Practice Address - Fax:704-973-9680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-30
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC4199253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC101033OtherSTATE OF NORTH CAROLINA DIVISION OF HEALTH SERVICE REGULATION