| NPI | 1144764929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA LYNCH Owner 704-473-5263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: NC FCL-060-146) |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2016-12-14 |