| NPI | 1548480718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ETHEL G WOODS Owner 336-584-2763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL-001-047) |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2008-07-15 |