NPI | 1114956406 |
---|---|
Other Name | BROOKSTONE HAVEN |
Entity Type | Organization |
Authorized Contact | KENNETH ALAN BURROW Vice President 336-495-2700 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC HAL076001) |
Enumeration Date | 2006-07-01 |
Last Update Date | 2020-08-22 |