| NPI | 1073118816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARRY TIRRELL HINGLETON CEO 336-520-8233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2025-06-18 |