| NPI | 1558661173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANJARNEKA DOTRICE HARPER CEO/Director 336-995-2840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2010-10-29 |