| NPI | 1215211651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD EDWARDS VP 919-783-8898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC MHL-092-821) |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2011-10-04 |