| NPI | 1326163577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLADYS MARIE CHERRY Administrator Owner 252-348-9993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC fcl-008-018) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2023-09-06 |