| NPI | 1134583370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS BRUCE STREET Owner/President 828-676-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2016-04-13 |