| NPI | 1952349326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAJUANA RENEE BEATTY President 910-762-3118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: NC FCL010002) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2008-06-18 |