| NPI | 1124152939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES L FAULKNER President 919-693-2123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC HAL-039-005) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |