Provider Demographics
NPI:1386118024
Name:T&M ENTERPRISES LLC
Entity type:Organization
Organization Name:T&M ENTERPRISES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:TODD
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:336-589-9963
Mailing Address - Street 1:429 BOONE RD
Mailing Address - Street 2:
Mailing Address - City:EDEN
Mailing Address - State:NC
Mailing Address - Zip Code:27288-4967
Mailing Address - Country:US
Mailing Address - Phone:336-589-9963
Mailing Address - Fax:
Practice Address - Street 1:596 NEAL RD
Practice Address - Street 2:
Practice Address - City:REIDSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27320-0333
Practice Address - Country:US
Practice Address - Phone:276-288-4547
Practice Address - Fax:336-397-4970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-16
Last Update Date:2019-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No347C00000XTransportation ServicesPrivate Vehicle