NPI | 1164583167 |
---|---|
Entity Type | Organization |
Authorized Contact | BARBARA MCKEITHEN Administrator 910-245-3567 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL063006) |
Enumeration Date | 2006-12-13 |
Last Update Date | 2007-08-30 |