| NPI | 1063738607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MGBECHI ELIZABETH IKEGWU Executive Director 336-509-7693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC MHL-041-910) |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2012-12-07 |