| NPI | 1447475850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALDINE YANCEY Administratorowner 336-599-7502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: NC FCL073014) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |