| NPI | 1235471350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA HINSON WEAVER Owner/Administrator 919-738-8239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC 06096430257) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2013-03-27 |