| NPI | 1548439607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENIFER NANETTE KIRK Executive Director 336-621-0938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC HAL-041-001) |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2008-02-22 |