| NPI | 1073654182 |
|---|---|
| Doing Business As | BOBBY JEAN GRAVES |
| Entity Type | Organization |
| Authorized Contact | BOBBY JEAN GRAVES Administrator 336-227-7953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: NC FCL001061) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2020-08-22 |