| NPI | 1174788640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IJEOMA NWANKWO Administrator 336-253-2219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC 092713) |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2008-07-24 |