| NPI | 1235334566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTINA BOONE Owner 828-582-1739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL-011-240) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2020-08-22 |