| NPI | 1841623873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA W GREENE Administrator 252-348-8840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC 008038) |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2013-10-17 |