| NPI | 1871368399 |
|---|---|
| Doing Business As | MULBERRY PLACE |
| Entity Type | Organization |
| Authorized Contact | CASEY WILLIAM BLACK Managing Member 704-239-2199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2023-11-15 |
| Last Update Date | 2023-11-15 |