| NPI | 1194030783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NASHEBA KEY-ALLRED Contract Specialist 919-783-8898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Additional Taxonomies | 311Z00000X Custodial Care Facility |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2017-04-24 |