| NPI | 1104057561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNESTINE MCKNIGHT Owner/Administrator 336-275-2590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL-041-066) |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2009-08-04 |