Healthcare Provider Details

I. General information

NPI: 1386118024
Provider Name (Legal Business Name): T&M ENTERPRISES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2019
Last Update Date: 01/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

596 NEAL RD
REIDSVILLE NC
27320-0333
US

IV. Provider business mailing address

429 BOONE RD
EDEN NC
27288-4967
US

V. Phone/Fax

Practice location:
  • Phone: 276-288-4547
  • Fax: 336-397-4970
Mailing address:
  • Phone: 336-589-9963
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: MR. CHRISTOPHER TODD COLLINS
Title or Position: PARTNER
Credential: R.PH.
Phone: 336-589-9963