| NPI | 1295950830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HORACE JENKINS Director 336-855-5913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL-041-038) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |