| NPI | 1487897013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES EDWARD LOWE Owner/ Administrator 252-314-9677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL-064-018) |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2009-04-13 |