| NPI | 1548690993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELIZABETH HYMAN Administrator/Owner 252-239-0140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL-098-030) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: NC FCL-098-030) |
| Enumeration Date | 2013-11-21 |
| Last Update Date | 2013-11-21 |