| NPI | 1093835936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT RAVEICA Owner 828-320-9392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: NC FCL-018-022) |
| Enumeration Date | 2007-03-31 |
| Last Update Date | 2008-08-08 |