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Organization

BLACK ENTERPRISES OF NC LLC

Active
Other names
Mulberry Place
Organization subpart
No

Provider details

NPI number
Authorized official
CASEY WILLIAM BLACK (MANAGING MEMBER)
(704) 239-2199
Entity
Organization

Contact information

Practice address
906 3RD ST SE, CONOVER, NC 28613-1813
(704) 239-2199
Mailing address
1002 BELL RIDGE CT, ROCKWELL, NC 28138-7437
(704) 239-2199

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary

Other

Enumeration date
11/15/2023
Last updated
11/15/2023
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