NPI | 1508730268 |
---|---|
Entity Type | Organization |
Authorized Contact | SYMBER MURPHY Owner 336-253-2459 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
310400000X Assisted Living Facility | |
310500000X Intermediate Care Facility, Mental Illness | |
320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
Enumeration Date | 2025-10-03 |
Last Update Date | 2025-10-03 |