| NPI | 1285024539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL GEORGE MITCHELL Owner/Administrator 919-630-7103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL-032-137) |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2015-01-26 |