| NPI | 1417739780 |
|---|---|
| Other Name | ANGIE'S HOUSE OF LOVE & PATIENCE |
| Entity Type | Organization |
| Authorized Contact | ANGELA WASHINGTON MOORE Administrator 910-289-7678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2023-10-19 |
| Last Update Date | 2023-10-19 |