| NPI | 1184818494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMA JOHNSON SINGLETARY Administrator 910-648-2152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL009011) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2007-08-29 |