| NPI | 1114046497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTINA BOONE Owner 828-350-7879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL 011-110) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |