NPI | 1568918969 |
---|---|
Entity Type | Organization |
Authorized Contact | AL DAVIS Owner 980-234-2910 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: NC FCL080030) |
Additional Taxonomies | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: NC FCL080029) |
311ZA0620X Custodial Care Facility Adult Care Home (Licence: NC FCL080028) | |
Enumeration Date | 2016-08-27 |
Last Update Date | 2016-08-27 |