| NPI | 1841448669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACK TURNER MARTIN Owner 336-394-4216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL-079-067) |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2008-09-04 |