| NPI | 1982244372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CIERRA SINGLETERRY Administrator 336-347-0513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2020-01-15 |