Organization
LATRELLS ENTERPRISE
Active
Other names
BLACKWELL'S REST HOME
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH MINOR (MANAGER)
(336) 421-9665
Entity
Organization
Contact information
Practice address
3782 CHERRY GROVE RD, ELON, NC 27244-9484
(336) 421-9488
(336) 421-5862
Mailing address
PO BOX 778, YANCEYVILLE, NC 27379-0778
(336) 694-7785
(336) 694-7786
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL-017-001
NC
Other
Enumeration date
03/02/2007
Last updated
08/22/2020
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