NPI | 1598960890 |
---|---|
Entity Type | Organization |
Authorized Contact | MARONDA STEFFEN STEFFEN Admin Assistant 910-592-8395 |
Organization Subpart ? | No |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded (Licence: NC MHL-031-039) |
Enumeration Date | 2007-06-18 |
Last Update Date | 2020-08-22 |