| NPI | 1336538156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OBBY A IKE Owner 910-728-6019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL032143) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: NC HC2523) |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2015-07-06 |