| NPI | 1144408394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVA LYNN LOWE Administrator/Owner 252-478-7331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL-064-008) |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2008-02-08 |