| NPI | 1073866596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKSON ODONDI Administrator 919-949-3585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC HAL-032-073) |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2012-10-22 |