# BLACK ENTERPRISES OF NC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mulberry Place
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871368399
- **Authorized official:** CASEY WILLIAM BLACK (MANAGING MEMBER)
- **Authorized official phone:** (704) 239-2199

## Contact information

- **Practice address:** 906 3RD ST SE, CONOVER, NC 28613-1813
- **Practice address phone:** (704) 239-2199
- **Mailing address:** 1002 BELL RIDGE CT, ROCKWELL, NC 28138-7437
- **Mailing address phone:** (704) 239-2199

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 11/15/2023
- **Last updated:** 11/15/2023