| NPI | 1215067251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICIA ONUORAH Administrator 919-850-2336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC MHL-092535) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2024-02-02 |