Organization
M&T ENHANCEMENT RESIDENTIAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHEAUX HOLLINGSWORTH (OWNER)
(910) 884-8889
Entity
Organization
Contact information
Practice address
126 DAVENPORT DR, RAEFORD, NC 28376-5425
(910) 848-2286
(910) 875-8842
Mailing address
126 DAVENPORT DR, RAEFORD, NC 28376-5425
(910) 848-2286
(910) 875-8842
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
047-139
NC
Other
Enumeration date
06/10/2011
Last updated
06/10/2011
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