| NPI | 1093253288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH MUZE Director 336-745-8862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 385H00000X Respite Care |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2020-09-08 |