| NPI | 1376363341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KILEY DONITA DAUGHTRY Owner 910-967-0374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2024-10-15 |
| Last Update Date | 2025-07-03 |