NPI | 1851412522 |
---|---|
Doing Business As | BENBOW MANOR |
Entity Type | Organization |
Authorized Contact | AMMA BROWN ALLEN Administrator 336-273-7912 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL-041-043) |
Enumeration Date | 2007-04-02 |
Last Update Date | 2020-08-22 |