| NPI | 1205956760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUELLA TATE Owner 919-553-1958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC FCL-051-017) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2012-12-07 |