| NPI | 1518084680 |
|---|---|
| Doing Business As | RUSSELL'S REST HOME |
| Entity Type | Organization |
| Authorized Contact | ANNETTE RUSSELL LUTHER Administrater 252-264-2055 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC 7801482) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2008-07-24 |