NPI | 1467580241 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIE EDWARD SPRUILL Administrator 910-628-7755 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL-024-002) |
Enumeration Date | 2007-03-01 |
Last Update Date | 2020-08-22 |