| NPI | 1053049353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONY NICHOLE SANDERS CEO 919-809-0852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 174200000X Meals |
| 251B00000X Case Management | |
| 332U00000X Home Delivered Meals | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2022-08-13 |
| Last Update Date | 2022-08-13 |