| NPI | 1124202866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFREDA GRAVES Director 336-266-3320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: NC MHL-001-153) |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2007-12-17 |