| NPI | 1164873790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA MAYO CFO/Director Of Operations 919-713-0930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL-092-225) |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2016-11-18 |