| NPI | 1790825354 |
|---|---|
| Doing Business As | COUNTRY CLUB REST HOME |
| Entity Type | Organization |
| Authorized Contact | PEARLIE M. BULLOCK Administrator 336-674-6293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 177F00000X Lodging (Licence: NC HAL076008) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |