| NPI | 1104249960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEMIA L GARNER Owner 336-263-7146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC MHL001233) |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2014-01-30 |