Latrells Enterprise
Organization Active NPI Assisted Living Facility · Elon, NC
NPI 1376671024 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1376671024
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- HAL-017-001 (NC)
- Legal business name
- LATRELLS ENTERPRISE
- Practice address
- 3782 Cherry Grove Rd
Elon, NC 27244-9484 - Phone
- (336) 421-9488
- Fax
- (336) 421-5862
- NPI assigned
- Mar 2, 2007
- Organization subpart
- No
Authorized official
- Name
- Ms. Deborah Minor
- Title
- Manager
- Phone
- (336) 421-9665
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Blackwell'S Rest Home
Locations
3782 Cherry Grove Rd
Elon, NC 27244
Phone (336) 421-9488
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | HAL-017-001 | NC | Yes |
Addresses
Primary practice location
3782 Cherry Grove Rd
Elon, NC 27244-9484
Mailing address
PO Box 778
Yanceyville, NC 27379-0778
Phone (336) 694-7785
Other names
- BLACKWELL'S REST HOME
Other providers in Elon, NC
- Nadia Jaffal
- Joseph Libera Physical Therapy
- Kernodle Clinic, Inc-Elon
- Dalia Atef Khalifa
- Breanna Maria Lanouette
- Latrells Enterprise
- Derek Lawrance
- Thao Phuong Le
- Maya Leemaster
- Eric Jensen Lengas
All providers in Elon, NC · Assisted Living Facility in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.