NPI | 1558969014 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICIA CROMWELL Owner/Administrator 336-210-8273 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Enumeration Date | 2020-10-15 |
Last Update Date | 2020-10-15 |