| NPI | 1235883901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN R. WIERZBICKI Authorized Representative 919-371-4233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2022-02-10 |
| Last Update Date | 2022-02-23 |