| NPI | 1033243282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOIS L SCREEN Owner 919-544-4114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL032022) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |