| NPI | 1962620211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA CALDWELL Administrator 828-658-2633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL011231) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |