| NPI | 1699946616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALDINE HARRIS- HOLLOWAY Administrator 252-478-3958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC MHL035020) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2008-03-18 |