| NPI | 1548095946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANIA Q GIBSON Home Care Administrator 910-995-8486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) |
| Enumeration Date | 2024-09-04 |
| Last Update Date | 2024-09-04 |