| NPI | 1275700502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY ABBOTT PEAY Administrator 336-342-4395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: NC FCL-017-046) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2008-05-15 |