| NPI | 1619015591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL DIANNE TITUES'JONES Owner 252-813-8416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL092100) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2011-09-01 |