| NPI | 1003215195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEANYEA RAINS Executive Director 919-688-8247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC 000615) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2023-12-06 |