| NPI | 1699332569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA WAYNETTE SURRETT Administrator 828-206-2324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2019-05-25 |
| Last Update Date | 2019-05-25 |