| NPI | 1356884654 |
|---|---|
| Doing Business As | A&A WILLOW FCH |
| Entity Type | Organization |
| Authorized Contact | BONNIE BRYAN WATLINGTON Health Services 336-253-1621 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2016-11-18 |
| Last Update Date | 2016-11-18 |