NPI | 1568586808 |
---|---|
Entity Type | Organization |
Authorized Contact | EULA BRITT Owner 252-566-5998 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL054041) |
Enumeration Date | 2007-03-19 |
Last Update Date | 2020-08-22 |