| NPI | 1023879632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUARLEEN HILL Owner 910-894-2504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 311Z00000X Custodial Care Facility |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2024-10-14 |