| NPI | 1356571046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNIE GILCHRIST Owner/Administrator 336-436-0219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2009-07-16 |