NPI | 1861528853 |
---|---|
Doing Business As | GLEZEN FCH 1 |
Entity Type | Organization |
Authorized Contact | SEAN BRITTANY WARD Administrator 910-738-6377 |
Organization Subpart ? | No |
Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: NC FCL078001) |
Enumeration Date | 2007-02-26 |
Last Update Date | 2020-08-22 |