| NPI | 1124205190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIANKA F GRAY Administrator 828-582-7466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2023-11-09 |