| NPI | 1336320316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA W MCLEAN Administrator 910-648-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL009020) |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2012-07-30 |