| NPI | 1164961991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN T. MORTON President 919-815-3233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |