| NPI | 1386769040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EULA BRITT Owner 252-566-2933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: NC FCL054046) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |