| NPI | 1528051935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBY N LEATHERWOOD Administrator 828-648-2044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC HAL044012) |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2020-08-22 |