Organization
LATTERDAYS LTC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA DORIS HOLDER (OWNER/ADMINISTRATOR)
(919) 690-9555
Entity
Organization
Contact information
Practice address
928 OLD SMITH CHAPEL RD, MOUNT OLIVE, NC 28365-7470
(919) 500-0321
Mailing address
928 OLD SMITH CHAPEL RD, MOUNT OLIVE, NC 28365-7470
(919) 500-0321
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
08/12/2022
Last updated
08/18/2022
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