| NPI | 1386866747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN F GRAVES Administrator 336-421-0016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL-017-008) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |