| NPI | 1629137484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARRONDA MELVIN SAVANNAH Administrator Owner 910-695-3665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: NC 063009) |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2020-08-22 |