| NPI | 1871624957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANNE CHANG Owner Director 336-373-1614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC MHL-041-786) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |