| NPI | 1730362757 |
|---|---|
| Doing Business As | SHEPHERD GROVE FAMILY CARE II |
| Entity Type | Organization |
| Authorized Contact | WILLIE N DIXON Owner 252-243-9827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC FCL-098-017) |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2008-06-24 |