| NPI | 1982499158 |
|---|---|
| Former Legal Business Name | WEEKEND BLAST CHRISTIAN LEARNING CENTER |
| Entity Type | Organization |
| Authorized Contact | KIM N LANDRY Adminstrator 910-303-1702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2025-04-10 |
| Last Update Date | 2025-04-10 |