| NPI | 1013325117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY BLOUNT Owner 252-975-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC HAL-008-039) |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2014-08-06 |