| NPI | 1780803270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAPHNE G WILLIAMSON Administrator 336-342-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL-079-047) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL-079-024) |
| 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL-079-029) | |
| 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL-079-025) | |
| 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL-079-038) | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |