| NPI | 1255542841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUELLA RENEE BUCHANAN Administrator 828-688-2919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL-061-008) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2008-06-17 |