NPI | 1316096191 |
---|---|
Doing Business As | CRAIN FAMILY CARE HOME |
Entity Type | Organization |
Authorized Contact | CLARISSA TAYLOR WALKER Owner Administrator 704-674-6364 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL-055-009) |
Enumeration Date | 2007-01-09 |
Last Update Date | 2007-07-26 |