| NPI | 1821117888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDNA STAMEY Administrator 828-683-2345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL011120) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |