| NPI | 1588702484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL DIANNE TITUES'JONES President 252-446-4924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL064003) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2008-07-09 |