| NPI | 1770649493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL D. TITUES Administrator 252-236-4085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC HAL098-019) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2008-07-09 |