| NPI | 1629151097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFREDA PARKER GRAVES Owner 336-538-2867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL-017-012) |
| Enumeration Date | 2006-10-22 |
| Last Update Date | 2008-01-15 |