| NPI | 1295191450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY WALSTON MCNEIL Owner/Administrator 252-641-4388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC fcl033012) |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2016-05-10 |