| NPI | 1134622319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY ANN NEAGLE VP Finance 336-993-7555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: NC HAL060154) |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2020-10-12 |