| NPI | 1366290421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFFORD LEWIS LANEY Member Manager 828-361-1422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2024-05-13 |
| Last Update Date | 2024-05-13 |