| NPI | 1780063305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE GEORGE Executive Director 704-222-2805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL036032) |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2015-05-28 |