| NPI | 1932531266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY BURLESON JONES CFO 704-986-1522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2013-08-09 |