| NPI | 1912172198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARETTA HINES MOORE Administrator 336-727-1308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL034077) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-05-05 |