| NPI | 1891235818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KINESHIA HARRIS Administrator 252-955-3719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL-033-015) |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2017-02-24 |