| NPI | 1285033761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA FAYE SPRUILL Director 919-344-8846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC MHL-096-255) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC MHL-031-075) |
| 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC MHL-096-254) | |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2014-08-20 |