| NPI | 1609046028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE MARIE GLOVER Director 252-478-1983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: NC 096205) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2008-03-03 |