| NPI | 1285903575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA MCDANIEL Administrator 252-227-3269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2011-12-15 |
| Last Update Date | 2011-12-15 |