| NPI | 1639836372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERMAINE DAVENPORT CEO 828-279-4443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| 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 |