| NPI | 1841470986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLENE TOMAS BALASSU-PASCUA Manager 336-644-0752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC MHL-041-754) |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2008-12-30 |