| NPI | 1700906070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA DANETTA GARRISON Owner Administrator 910-527-4673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL-026-049) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-08-22 |