| NPI | 1982935839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLITA MOUJAHED Administrator 910-318-9667 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL-078-076) |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2010-01-15 |