| NPI | 1578235693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLENE HARRISON Owner/Administrator 336-280-1358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2021-09-28 |