NPI | 1851722466 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY MOORE Manager 336-350-0296 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL-001-107) |
Enumeration Date | 2013-12-06 |
Last Update Date | 2013-12-06 |