NPI | 1497786982 |
---|---|
Other Name | FOREST PARK HOUSE |
Entity Type | Organization |
Authorized Contact | KENNETH ALAN BURROW Vice President 336-495-2700 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC MHL 076 011) |
Additional Taxonomies | 251S00000X |
Enumeration Date | 2006-07-05 |
Last Update Date | 2013-06-13 |