| NPI | 1700245990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OBBY IKE Owner 910-728-6019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC fcl-032-143) |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2016-02-16 |