| NPI | 1295854933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA COX JEFFERSON Owner 336-421-9468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |