| NPI | 1053431619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNI MCCULLOUGH Administrator 828-693-7976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC HAL-045-005) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |