Organization
TTB ENTERPRISES, LLC
Active
Other names
Crown Colony
Organization subpart
No
Provider details
NPI number
Authorized official
AMY HART (ADMINISTRATOR)
(704) 663-7600
Entity
Organization
Contact information
Practice address
291 COMMERCIAL DR, MOORESVILLE, NC 28115
(704) 663-7600
(704) 663-2881
Mailing address
P.O. BOX 598, MOORESVILLE, NC 28115
(704) 663-7600
(704) 663-2881
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
HAL-049-010
NC
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7803201
—
NC
Enumeration date
03/16/2007
Last updated
10/02/2008
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