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Organization
BLACK ENTERPRISES OF NC LLC
Active
Organization
BLACK ENTERPRISES OF NC LLC
Active
Other names
Mulberry Place
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY WILLIAM BLACK (MANAGING MEMBER)
(704) 239-2199
Entity
Organization
Contact information
Practice address
906 3RD ST SE, CONOVER, NC 28613-1813
(704) 239-2199
Mailing address
1002 BELL RIDGE CT, ROCKWELL, NC 28138-7437
(704) 239-2199
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
NULL
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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