NPI | 1801915376 |
---|---|
Entity Type | Organization |
Authorized Contact | CLAY MORRIS GOWAN President 828-652-8755 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC MHL059021) |
Enumeration Date | 2007-03-28 |
Last Update Date | 2020-08-22 |