NPI | 1639836372 |
---|---|
Entity Type | Organization |
Authorized Contact | JERMAINE DAVENPORT CEO 828-279-4443 |
Organization Subpart ? | No |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded |
Additional Taxonomies | 310500000X Intermediate Care Facility, Mental Illness |
311ZA0620X Custodial Care Facility Adult Care Home | |
385H00000X Respite Care | |
Enumeration Date | 2021-11-17 |
Last Update Date | 2023-10-19 |