| NPI | 1922301969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LEANDRO Partner 910-875-4551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC HAL 013-039) |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2010-12-14 |