| NPI | 1194001172 |
|---|---|
| Doing Business As | CLARA'S COTTAGE #2 |
| Entity Type | Organization |
| Authorized Contact | CLARISSA TAYLOR WALKER Owner 704-674-6364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL012037) |
| Enumeration Date | 2011-10-23 |
| Last Update Date | 2011-10-23 |