| NPI | 1063619724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEMPSIE D. RICHARDSON President 252-641-4107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL-033-003) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2020-08-22 |