| NPI | 1083033716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY N WOODS Owner 336-214-3028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC MHL-041-1080) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2014-04-10 |