| NPI | 1114047057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY PRIVETTE Owner 828-259-9364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: NC FCL-011-106) |
| Enumeration Date | 2007-03-31 |
| Last Update Date | 2008-08-06 |