| NPI | 1588758296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA PARKER RANDOLPH Director 910-762-3118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL082007) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2010-02-12 |