| NPI | 1740465160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARI ANDERSON ROGNSTAD Executive Director 336-846-4491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-005-019) |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X | |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 333300000X Emergency Response System Companies | |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2017-11-20 |