| NPI | 1417212747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTAL HULLENDER Owner/Administrator 828-648-3790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL-044-038) |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2012-07-12 |