| NPI | 1700901063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WELDON F PENLEY Co Administrator 828-298-7632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL-011-034) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2008-06-23 |