| NPI | 1578603734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELPHINA ANNETTE LEWIS Executive Dir. 336-691-1609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC MHL-041-698) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |