| NPI | 1578797239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARNETTA E MOORE President / Administrator 336-269-3006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: NC 1094588) |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2009-05-11 |