| NPI | 1740465426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH R HODGES Manager 828-738-3053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC HAL041061) |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2007-12-31 |