| NPI | 1518081025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANNIE MOSLEY Owner 252-522-2280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: NC FCL054004) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2013-11-12 |