| NPI | 1477604288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA J BROWN Administrator 910-486-6118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC MHL026659) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-22 |