Green, Latesha
Green, Latesha is an sole proprietor health care provider with primary practice located at 3409 Dominion Green Dr , Charlotte NC 28269-7932. She recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Developmental Disabilities, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is her primary health care specialty. Green, Latesha can be contacted via phone (704) 906-4522.Contact Information
Primary practice address
3409 Dominion Green Dr
Charlotte NC 28269-7932
Phone: (704) 906-4522
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Developmental Disabilities | 261QD1600X | North Carolina | |
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320600000X | North Carolina |
Profile Details
NPI number | 1972239127 |
---|---|
LBN Legal business name | Green, Latesha |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 29th, 2022 |
Last updated | Jul 29th, 2022 - about 2 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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