| NPI | 1891471256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY-MARGARET LENNON CLIFTON President 910-874-4226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Enumeration Date | 2023-06-22 |
| Last Update Date | 2023-06-22 |