| NPI | 1366624504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH R HODGES Administrator 828-738-3046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC HAL 087 003) |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2007-11-29 |