| NPI | 1124262050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE COLE BALLENTINE Owner/Administrator 919-834-3966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC FCL-092-106) |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2009-04-22 |