| NPI | 1821132465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA TURNER GARDNER Co Administrator 336-342-4519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC fcl-079-008) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2007-08-06 |