| NPI | 1649392127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT EDWARD ALFORD Director 910-848-1224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |