NPI | 1902144314 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBRA RENE ROUSE Administrator 336-427-0609 |
Organization Subpart ? | No |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: NC MHL-079-047) |
Enumeration Date | 2013-01-18 |
Last Update Date | 2013-02-20 |