| NPI | 1518089721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY CHUKWUMA Director 336-389-0096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-08-22 |