| NPI | 1134360118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDYTHE MCMILLAN Administor 919-362-6266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC HAL-092146) |
| Enumeration Date | 2009-03-20 |
| Last Update Date | 2009-03-20 |