| NPI | 1386044816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY BLOUNT Owner 252-402-5317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC HAL072012) |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2014-09-04 |