| NPI | 1740337757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA DAVIS LLOYD Owner 910-826-7648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: NC MHL-026-157) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-08-22 |