| NPI | 1780847780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERLYN LASHUNDA CASH Supervisor In Charge 336-436-0046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2008-07-09 |