| NPI | 1932413085 |
|---|---|
| Doing Business As | HOME AWAY FROM HOME SITE 2 |
| Entity Type | Organization |
| Authorized Contact | SHUVON LEVETTE BLACKWELL-RANKIN Owner, Administrator 336-215-8866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC FCL079078) |
| Enumeration Date | 2010-07-31 |
| Last Update Date | 2010-07-31 |