| NPI | 1366677692 |
|---|---|
| Doing Business As | THE RADBOURNE MANOR |
| Entity Type | Organization |
| Authorized Contact | LISA WIGFALL CEO 704-394-8968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL-060-115) |
| Enumeration Date | 2009-05-15 |
| Last Update Date | 2011-09-29 |