Organization
LATRELLS ENTERPRISE
Active
Other names
The Ronald David Home
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH MINOR (MANAGER)
(336) 421-9665
Entity
Organization
Contact information
Practice address
3814 CHERRY GROVE ROAD, ELON, NC 27244-9485
(336) 421-9665
(336) 421-9663
Mailing address
3814 CHERRY GROVE ROAD, ELON, NC 27244-9485
(336) 421-9665
(336) 421-9663
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL-017-002
NC
Other
Enumeration date
01/16/2007
Last updated
06/25/2008
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