| NPI | 1942320759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES TROY BURKE Administrator 828-688-3807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: NC FCL-061-002) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2008-06-13 |