| NPI | 1215081021 |
|---|---|
| Doing Business As | IDLEWOOD GROUP HOME |
| Entity Type | Organization |
| Authorized Contact | RICHARD LYNN SMITH VP Of Business Operations 919-778-1900 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: NC MHL-042-009) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2017-12-15 |