| NPI | 1205290269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHINYERE NKEMDIRIM NWAODU Administrator 919-272-7691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2016-04-06 |