| NPI | 1821280215 |
|---|---|
| Doing Business As | CAROLINA LIVING CENTER #1 |
| Entity Type | Organization |
| Authorized Contact | KENNETH R HODGES Owner/Operator 828-738-3046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL-045-026) |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2008-06-28 |