| NPI | 1952421232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOUNG S LEE Owner 828-779-5588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL-011-134) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2011-02-16 |