| NPI | 1790140960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFREDA ROBINSON President 336-328-4890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC MHL076114) |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2015-12-15 |