| NPI | 1043477003 |
|---|---|
| Doing Business As | GOLDEN HARVEST LIVING CENTER #1 |
| Entity Type | Organization |
| Authorized Contact | KENNETH R HODGES Owner/Administrator 828-738-3046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL081036) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2008-05-19 |