| NPI | 1346361094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMMA ALLEN Administrator 336-558-8411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL-041-027) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2024-01-09 |