| NPI | 1124234166 |
|---|---|
| Doing Business As | GULLATTE ENTERPRISES |
| Entity Type | Organization |
| Authorized Contact | LATARSHA ROSEBORO GULLATTE Administrator 704-487-0063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL-023-009) |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2007-09-24 |