NPI | 1033346887 |
---|---|
Entity Type | Organization |
Authorized Contact | CINDY JONES CFO 704-986-1522 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Additional Taxonomies | 251S00000X |
320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-013-117) | |
310400000X Assisted Living Facility | |
Enumeration Date | 2009-06-19 |
Last Update Date | 2013-08-21 |