| NPI | 1356489843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLITA MOUJAHED Owner 910-318-9667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL-083-010) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |