| NPI | 1821296864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFREDA ROBINSON Owner 336-328-4890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC 002005) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2007-07-10 |