| NPI | 1811382757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON J MCDONALD Owner 828-216-8373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL-011-346) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2015-03-30 |