Coltrane, Lathay

Coltrane, Lathay is an sole proprietor health care provider with primary practice located at 3811 Repon St , Greensboro NC 27407-5536. She recently has 3 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Nursing Service Related Providers / Day Training/Habilitation Specialist, Ambulatory Health Care Facilities / Adult Day Care. Ambulatory Health Care Facilities / Adult Day Care is her primary health care specialty. Coltrane, Lathay can be contacted via phone (336) 669-2819.

Contact Information

Primary practice address
3811 Repon St Greensboro NC 27407-5536
Phone: (336) 669-2819
Fax: (336) 299-9758
Website:
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Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X

Profile Details

NPI number 1801567763
LBN Legal business name Coltrane, Lathay
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2021
Last updated Sep 21st, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801567763 NPPES
North Carolina MEDICAID 1366594715

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