| NPI | 1265984819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY HAYWOOD ROBINSON Administrator 252-314-8222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL033013) |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2016-10-31 |