| NPI | 1972634905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA ANN NEAGLE VP Finance 336-993-7555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-10-12 |