| NPI | 1427495753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA LAWSON GWYNN Nurse Consultant 336-349-3610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2013-05-28 |