| NPI | 1639246804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HILDA W. BROWN Administrator 336-578-5774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: NC FCL001023) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2013-07-08 |