| NPI | 1922298389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLA MAE BRUTON Administrator 910-439-4522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL-062-006) |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2007-08-05 |