| NPI | 1558667790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MURRAY CARROLL Member 910-509-1332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: NC HAL-065-035) |
| Enumeration Date | 2011-02-07 |
| Last Update Date | 2011-02-07 |