| NPI | 1174270342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIANNE C HALL Admin 252-822-1790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2022-03-07 |
| Last Update Date | 2022-03-14 |