| NPI | 1881928844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH W PERRY Owner/Administrator 252-257-3095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL-093-007) |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2009-09-23 |