| NPI | 1790024529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARKITA GARRISON Administrator 252-360-9806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL 033-008) |
| Enumeration Date | 2013-02-14 |
| Last Update Date | 2013-02-14 |