| NPI | 1568253730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL MARTIN WILLIAMS Owner/Administrator 336-662-2311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Enumeration Date | 2025-05-15 |
| Last Update Date | 2025-05-19 |