| NPI | 1770964702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN WELDON Ar 336-993-7555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC HAL001159) |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2015-06-18 |