| NPI | 1265599112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLVIA KAREN SUITT Administrator 910-648-4235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: NC FCL-009-009) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |