| NPI | 1174704795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN RAY STEWART Owner 336-570-1748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: NC FCL001121) |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2007-11-26 |