| NPI | 1861537755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNIE RICHARDSON Owner 704-933-7081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL080005) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |