| NPI | 1093929754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRE D KNIGHT Director 252-443-1619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC fcl064006) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |