| NPI | 1013185644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAQUITA TAMECIA JONES Owner/Administrator 919-949-1175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL032088) |
| Enumeration Date | 2008-02-17 |
| Last Update Date | 2008-02-17 |