| NPI | 1265738157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEROY ADAMS Member 910-256-5989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: NC HAL-009-025) |
| Enumeration Date | 2011-02-10 |
| Last Update Date | 2011-02-10 |