| NPI | 1205979747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN M KINCAID Director 828-572-2333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC MHL-014-009) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2016-09-14 |