| NPI | 1982981189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMA ROSALEE SINGLETARY Administrator 910-648-2298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL009-011) |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2011-11-16 |