NPI | 1447705330 |
---|---|
Entity Type | Organization |
Authorized Contact | TAMMY MCDONALD TATE Administrator 828-216-8376 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Enumeration Date | 2016-08-20 |
Last Update Date | 2016-08-20 |